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Contact Information

MADISYN CHAVEZ, LAT, ATC
5500 CAMPANILE DR
SAN DIEGO, CA92182-0001
 Phone: 619-594-7651
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MADISYN CHAVEZ · (Female)

NPI # 1821689282
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 01/28/2021
Last updated 01/28/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 2000035929
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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