Chavez Medical Group, INC
Internal Medicine in Fresno, CA. Organization (NPI-2).
NPI number1407129018
StatusActive
Last updated in NPPESDec 19, 2022
Details
- NPI
- 1407129018
- Entity type
- Organization (NPI-2)
- Legal business name
- Chavez Medical Group, INC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2012
- Certification date
- Dec 18, 2022
- Last updated
- Dec 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A67620 | CA | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Practice location
5260 N Palm Ave Ste 201Fresno, CA 93704-2217
Phone 559-840-0066 · Fax 559-272-0479
Mailing address
5260 N Palm Ave Ste 201Fresno, CA 93704-2217
Phone 559-840-0066 · Fax 559-272-0479
Authorized official
Juan G Chavez
President/Ceo
5598400066
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