Individual
CARLOS CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15624 SAN DIEGO LN, VICTORVILLE, CA 92394-9598
(323) 354-7344
Mailing address
15624 SAN DIEGO LN, VICTORVILLE, CA 92394-9598
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13904
CA
225700000X
Massage Therapist
90792
CA
225700000X
Massage Therapist
91177
CA
225700000X
Massage Therapist
94888
CA
Other
Enumeration date
01/30/2026
Last updated
02/24/2026
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