Healthcare Provider Details

I. General information

NPI: 1063190288
Provider Name (Legal Business Name): GEORGE CHAUX M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 04/05/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2080 CENTURY PARK E STE 507
LOS ANGELES CA
90067-2008
US

IV. Provider business mailing address

8730 ALDEN DRIVE C-106
LOS ANGELES CA
90048
US

V. Phone/Fax

Practice location:
  • Phone: 310-556-0335
  • Fax: 310-556-8464
Mailing address:
  • Phone: 310-403-4353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE E CHAUX
Title or Position: ATTENDING PHYSICIAN
Credential: MD
Phone: 310-403-4353