| NPI | 1497059117 |
|---|---|
| Other Name | JC CHAVEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA22713) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22713) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2024-01-03 |