Chavez, Jose

Chavez, Jose is an sole proprietor health care provider with primary practice located at 4940 Laurel Canyon Blvd Apt 101 , Valley Village CA 91607-6007. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as his primary health care specialty. Chavez, Jose can be contacted via phone (619) 944-5364.

Contact Information

Primary practice address
4940 Laurel Canyon Blvd Apt 101 Valley Village CA 91607-6007
Phone: (619) 944-5364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 4549 California

Profile Details

NPI number 1992311757
LBN Legal business name Chavez, Jose
Credentials DNP RN ACCNS-AG CCRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2020
Last updated Sep 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992311757 NPPES
California MEDICAID 4549

Popular Providers