Most Relevant Information
Provider Data
| NPI Number: | 1003456385 |
| Provider Name: | EDWARD CHAVEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/14/2020 |
| Last Updated: | 01/14/2020 |
Provider Practice Location
1926 BEVERLY BLVD
LOS ANGELES
CA
900572402
Practice Location Phone/Fax
| Phone: | 2133531140 |
| Fax: |
Provider Mailing Location
1926 BEVERLY BLVD
LOS ANGELES
CA
900572402
Provider Mailing Phone/Fax
| Phone: | 2133531140 |
| Fax: |