Individual
ALBERTO CHAVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
334 VIA VERA CRUZ, SUITE 257, SAN MARCOS, CA 92078-2635
(760) 510-1808
(760) 510-1811
Mailing address
334 VIA VERA CRUZ, SUITE 257, SAN MARCOS, CA 92078-2635
(760) 510-1808
(760) 510-1811
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G50302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G503020
—
CA
Enumeration date
07/19/2005
Last updated
01/27/2010
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