Individual
MR. RAUL A. CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
380 N. LINDEN AVE.,, 2204, RIALTO, CA 92376
(909) 350-3800
Mailing address
PO BOX 13125, LOS ANGELES, CA 90013-0125
(323) 229-1215
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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