Rafael Ubaldo Chavez, pa
Physician Assistant, Medical in City Of Industry, CA. Individual provider (NPI-1).
NPI number1346352085
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346352085
- Entity type
- Individual (NPI-1)
- Name
- Rafael Ubaldo Chavez
- Credential
- pa
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | pa12656 | CA | Yes |
Practice location
17487 Hurley StCity Of Industry, CA 91744-5106
Phone 626-965-0959 · Fax 626-912-1696
Mailing address
3651 Agate WayWest Covina, CA 91792-2775
Phone 626-912-1460 · Fax 626-912-1696
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