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Eda Chavez

NPI 1730065996 · on the registry since 2025

Practice

Address
13400 Heacock St
C224
Moreno Valley, CA 92553
Phone
(562) 774-7145
Fax
(562) 774-7145

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-13

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