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Contact Information

REYNA R CHAVEZ
1440 S STATE COLLEGE BLVD
SUITE 3-K
ANAHEIM, CA92806-5724
 Phone: 714-758-0660
 Fax: 714-758-0770
 Website:
 

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
Indicates primary specialty

NPI Profile & details for REYNA R CHAVEZ · (Female)

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
  • CA License # FAC33625
  • CA Other CB276312 MEDICARE LA COUNTY MAMMOGRAPHY PTAN
  • CA Other CA268381 MEDICARE NORTHERN CALIFORNIA MAMMOGRAPHY PTAN
  • CA Other CA236328 MEDICARE NORTHERN CALIFORNIA X-RAY PTAN
  • CA Other CB284412 MEDICARE SOUTHERN CALIFORNIA MAMMOGRAPHY PTAN
  • CA Other CB207156 MEDICARE SOUTHERN CALIFORNIA X-RAY PTAN
  • CA Other P01543590 RAILROAD MEDICARE PTAN
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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