Individual
COTY CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP, RRT
Contact information
Practice address
1045 ATLANTIC AVE STE 616, LONG BEACH, CA 90813-3411
(760) 219-6632
Mailing address
33131 MARINA VISTA DR, DANA POINT, CA 92629-1104
(760) 219-6632
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
37747
CA
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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