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General NPI Number Information
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NPI Number | 1881761203
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Entity Type | Individual
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Provider Name | JON CHAFFEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 5318 E 2ND ST # 546
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City | LONG BEACH
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State | CA
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Zip | 90803-5324
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Country | US
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Telephone | 562-433-3220
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Fax | 562-439-4307
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Provider Business Mailing Address
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Address Line | 5318 E 2ND ST # 546
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City | LONG BEACH
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State | CA
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Zip | 90803-5324
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Country | US
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Telephone | 951-244-4147
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Fax | 951-244-0747
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G69373
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License Number State | CA
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