Individual
REYNA R CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 S STATE COLLEGE BLVD, SUITE 3-K, ANAHEIM, CA 92806-5724
(714) 758-0660
(714) 758-0770
Mailing address
1440 S STATE COLLEGE BLVD, SUITE 3-K, ANAHEIM, CA 92806-5724
(714) 758-0660
(714) 758-0770
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
FAC33625
CA
261QR0207X
Mobile Mammography Clinic/Center
—
CA
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA236328
MEDICARE NORTHERN CALIFORNIA X-RAY PTAN
CA
01
—
CA268381
MEDICARE NORTHERN CALIFORNIA MAMMOGRAPHY PTAN
CA
01
—
CB207156
MEDICARE SOUTHERN CALIFORNIA X-RAY PTAN
CA
01
—
CB276312
MEDICARE LA COUNTY MAMMOGRAPHY PTAN
CA
01
—
CB284412
MEDICARE SOUTHERN CALIFORNIA MAMMOGRAPHY PTAN
CA
01
—
P01543590
RAILROAD MEDICARE PTAN
CA
Enumeration date
08/24/2007
Last updated
11/06/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us