| Marco Chavez Md Corp | |
|
3761 Centre St 304 San Diego CA 92103-0919 | |
| (619) 344-7036 | |
| (619) 291-4426 |
| Full Name | Marco Chavez Md Corp |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3761 Centre St, San Diego, California |
| Authorized Official Name and Position | Marco Antonio Chavez (PRESIDENT) |
| Authorized Official Contact | 6193447036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marco Chavez Md Corp 3914 3rd Ave San Diego CA 92103-3003 Ph: (619) 291-4808 | Marco Chavez Md Corp 3761 Centre St 304 San Diego CA 92103-0919 Ph: (619) 344-7036 |
| NPI Number | 1245675412 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 05/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245675412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A115932 (California) | Primary |
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