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Organization

DR. DAN CHAVIRA MD, A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL MATTHEW CHAVIRA M.D. (MEDICAL DIRECTOR)
(310) 923-9931
Entity
Organization

Contact information

Practice address
3661 TORRANCE BLVD STE 200, TORRANCE, CA 90503-4886
(310) 923-9931
Mailing address
3661 TORRANCE BLVD STE 200, TORRANCE, CA 90503-4886
(310) 923-9931

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
A89310
CA

Other

Enumeration date
10/26/2012
Last updated
01/08/2013
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