Healthcare Provider Details

I. General information

NPI: 1154267276
Provider Name (Legal Business Name): TAPESTRY MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12100 WILSHIRE BLVD FL 8
LOS ANGELES CA
90025-7120
US

IV. Provider business mailing address

99 HAWLEY LN STE 1102
STRATFORD CT
06614-1204
US

V. Phone/Fax

Practice location:
  • Phone: 203-666-8145
  • Fax: 203-456-9793
Mailing address:
  • Phone: 203-666-8145
  • Fax: 203-456-9793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID CHESS
Title or Position: OWNER
Credential:
Phone: 203-666-8145