Provider Demographics
NPI:1114635448
Name:CRISTINE ZAPANTA CHAVEZ DDS INC
Entity Type:Organization
Organization Name:CRISTINE ZAPANTA CHAVEZ DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCESSING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-373-9522
Mailing Address - Street 1:22759 HAWTHORNE BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3613
Mailing Address - Country:US
Mailing Address - Phone:310-373-9522
Mailing Address - Fax:310-373-8104
Practice Address - Street 1:22759 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3613
Practice Address - Country:US
Practice Address - Phone:310-373-9522
Practice Address - Fax:310-373-8104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental