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Individual

GIL CHAIREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1430 FREEDOM BLVD, WATSONVILLE, CA 95076-2780
(831) 454-4170
(831) 454-4663
Mailing address
1430 FREEDOM BLVD, WATSONVILLE, CA 95076-2780
(831) 454-4170
(831) 454-4663

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ91892Z
CA - SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
01
ZZZ92069Z
CA - SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
06/19/2007
Last updated
04/30/2025
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