Organization
IRVINE DOCTORS OF KIDS AND TEENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA L CHAVEZ MD (OWNER/PARTNER)
(949) 559-5601
Entity
Organization
Contact information
Practice address
4950 BARRANCA PKWY STE 306, IRVINE, CA 92604-4631
(949) 559-5601
Mailing address
4950 BARRANCA PKWY STE 306, IRVINE, CA 92604-4631
(949) 559-5601
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
G64892
CA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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