Individual
JOSE CARLOS CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
14641
CA
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
14641
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629234893
—
CA
Enumeration date
08/06/2008
Last updated
03/16/2026
Update your record
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