Organization
CESAR T. CHAVEZ MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA C CHAVEZ (OFFICE MANAGER)
(858) 756-2944
Entity
Organization
Contact information
Practice address
610 S 8TH ST, EL CENTRO, CA 92243-3215
(760) 335-3737
(760) 335-3662
Mailing address
PO BOX 790, SOLANA BEACH, CA 92075-0790
(858) 756-2944
(858) 756-4043
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G51615
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G516150
—
CA
05
—
00G516151
—
CA
Enumeration date
03/30/2007
Last updated
01/05/2016
Update your record
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