Individual
DR. JOSE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP RN ACCNS-AG CCRN
Contact information
Practice address
4940 LAUREL CANYON BLVD APT 101, VALLEY VILLAGE, CA 91607-6007
(619) 944-5364
Mailing address
4940 LAUREL CANYON BLVD APT 101, VALLEY VILLAGE, CA 91607-6007
(619) 944-5364
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
4549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4549
—
CA
Enumeration date
09/17/2020
Last updated
09/17/2020
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