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Contact Information

CARLOS CHAVEZ
840 N AVENUE 66
LOS ANGELES, CA90042-1508
 Phone: 626-517-2368
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Psychiatric Technician

167G00000X
Indicates primary specialty

NPI Profile & details for CARLOS CHAVEZ · (Male)

NPI # 1356754212
Status Active
Credentials
Entity Individual
Enumeration date 06/09/2014
Last updated 04/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 37203
  • CA Medicaid 11241000383
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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