Healthcare Provider Details

I. General information

NPI: 1164376596
Provider Name (Legal Business Name): SAUL CHAVEZ JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 E SLAUSON AVE
COMMERCE CA
90040-2953
US

IV. Provider business mailing address

9720 FLOWER ST APT 235
BELLFLOWER CA
90706-5852
US

V. Phone/Fax

Practice location:
  • Phone: 323-392-9064
  • Fax:
Mailing address:
  • Phone: 323-392-9064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: