SearchCalifornia172V00000X

Edwin Chavous

NPI 1255904090 · on the registry since 2021 · sole proprietor

Practice

Address
1328 2nd St
Santa Monica, CA 90401
Phone
(310) 394-6889
Organisation at this address
Step Up On Second
Step Up On Second
Step Up On Second
Step Up On Second
Step Up On Second Street, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
142

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California