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NPI Code Detail

MEDICARE: ANGELO JULIO CHAVEZ GUERRERO M.D.

MEDICARE: ANGELO JULIO CHAVEZ GUERRERO 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
1207Q00000XFamily Medicine PhysicianMD431728PA
2207Q00000XFamily Medicine PhysicianMD.28142AL
3207Q00000XFamily Medicine Physician156523CA

General Provider Information

NPI Number : 1235465774
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELO JULIO CHAVEZ GUERRERO M.D.
Provider Business Mailing Address
First Line : 2050 S BLOSSER RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93458-7310
Country : US
Telephone Number : 805-361-8030
Fax Number : 805-361-8017
Provider Business Practice Location Address
First Line : 2800 RIVERSIDE AVE
Second Line :
City : PASO ROBLES
State : CA
Zip : 93446-1311
Country : US
Telephone Number : 805-238-7250
Fax Number : 805-238-0165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2009
Last Update Date : 05/06/2024

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