Individual
DR. ERIC M CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
770 WASHINGTON ST STE 200, ARTEMIS MEDICAL GROUP, SAN DIEGO, CA 92103-2209
(858) 278-3636
(858) 278-3637
Mailing address
770 WASHINGTON ST STE 200, ARTEMIS MEDICAL GROUP, SAN DIEGO, CA 92103-2209
(858) 278-3636
(858) 278-3637
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A67412
CA
2084P0800X
Psychiatry Physician
057056
GA
2084P0800X
Psychiatry Physician
Primary
A67412
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A674120
—
CA
Enumeration date
08/01/2006
Last updated
10/10/2014
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