NPI Profile for REYNA R CHAVEZ in ANAHEIM, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiology, Mobile |
261QR0208X | 45 | Mammography Center | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Radiology, Mobile Mammography |
261QR0207X | 45 | Mammography Center |
| NPI # | 1629261375 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/24/2007 | |
| Last updated | 11/06/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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REYNA R CHAVEZ
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