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1548817414
ANGEL JOSE CHAVEZ
SANTA MONICA, CA
NPI
1548817414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-24
Last Update Date
2022-01-04
Business Address
ANGEL JOSE CHAVEZ
1334 LINCOLN BLVD
SANTA MONICA, CA 90401-1730
Phone number: 310-314-6200
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Mailing Address
ANGEL JOSE CHAVEZ
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201
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