Provider Demographics
NPI:1790525020
Name:EMILIANO CHAVIRA MD MEDICAL CORPORATION
Entity type:Organization
Organization Name:EMILIANO CHAVIRA MD MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILIANO
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHAVIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-414-4600
Mailing Address - Street 1:15141 WHITTIER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2173
Mailing Address - Country:US
Mailing Address - Phone:562-414-4600
Mailing Address - Fax:
Practice Address - Street 1:15141 WHITTIER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2173
Practice Address - Country:US
Practice Address - Phone:562-414-4600
Practice Address - Fax:562-267-5872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty