MEDICARE: MS. OFELIA NARVASA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A73322	CA

General Provider Information

NPI Number	:	1558404558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. OFELIA NARVASA M.D.

Provider Business Mailing Address
First Line	:	3626 GRAND AVE
Second Line	:	SUITE A
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-1478
Country	:	US
Telephone Number	:	909-613-0058
Fax Number	:	909-613-0144

Provider Business Practice Location Address
First Line	:	3626 GRAND AVE
Second Line	:	SUITE A
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-1478
Country	:	US
Telephone Number	:	909-613-0058
Fax Number	:	909-613-0144

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	02/26/2008

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