| Chavez Medical Group, Inc | |
|
5260 N Palm Ave Ste 201 Fresno CA 93704-2217 | |
| (559) 840-0066 | |
| (559) 272-0479 |
| Full Name | Chavez Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5260 N Palm Ave Ste 201, Fresno, California |
| Authorized Official Name and Position | Juan G Chavez (PRESIDENT/CEO) |
| Authorized Official Contact | 5598400066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chavez Medical Group, Inc 5260 N Palm Ave Ste 201 Fresno CA 93704-2217 Ph: (559) 840-0066 | Chavez Medical Group, Inc 5260 N Palm Ave Ste 201 Fresno CA 93704-2217 Ph: (559) 840-0066 |
| NPI Number | 1407129018 |
|---|---|
| Provider Enumeration Date | 02/13/2012 |
| Last Update Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407129018 | NPI | - | NPPES |
| 00A676201 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | A67620 (California) | Primary |
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