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Search › California › 101YA0400X

Juan Chavez, SUDRC#15723

NPI 1558185959 · on the registry since 2024 · sole proprietor

Practice

Address
1701 Zonal Ave
Los Angeles, CA 90033
Phone
(323) 223-6298
Fax
(323) 223-6399
Organisation at this address
Altamed Health Services
Altamed Health Services
Baart Community Healthcare
Altamed Health Services Corp
Addiction Research And Treatment, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-12

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