Most Relevant Information
Provider Data
| NPI Number: | 1003230061 |
| Provider Name: | ANGELICA CHAVEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/11/2014 |
| Last Updated: | 10/26/2022 |
Provider Practice Location
524 W VISTA WAY
VISTA
CA
920835704
Practice Location Phone/Fax
| Phone: | 7603054900 |
| Fax: | 7603054919 |
Provider Mailing Location
524 W VISTA WAY
VISTA
CA
920835704
Provider Mailing Phone/Fax
| Phone: | 7603054900 |
| Fax: | 7603054919 |