Individual
MONICA LIZETTE CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3186 AIRWAY AVE STE A, COSTA MESA, CA 92626-4650
(714) 881-0427
Mailing address
1624 L AVE, NATIONAL CITY, CA 91950-4817
(619) 534-0523
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
126800000X
Dental Assistant
Primary
—
CA
Other
Enumeration date
02/25/2026
Last updated
03/02/2026
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