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Gordon Chavez

NPI Registration Record

Provider / OrganizationNPIDate Certified
GORDON CHAVEZ17206596912021-07-12

Gordon Chavez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720659691. Registration indicates Gordon Chavez is a provider of services with a specialization in Nursing Service Providers, Licensed Psychiatric Technician (Licensed Psychiatric Technician, ) (Licensed Psychiatric Technician, Nursing Service Providers)

Entity TypeIndividual
Provider Name Gordon Chavez Jr.
Practice Office Address1055 W HENDERSON AVE STE 2
PORTERVILLE, CA US
Practice Office Telephone5597881200
Mailing Address1055 W HENDERSON AVE STE 2
PORTERVILLE, CA 932571490 US
HPT Codes
CodePractice
License No
State
167G00000X PRIMARY
Nursing Service Providers
Licensed Psychiatric Technician
Licensed Psychiatric Technician

Licensed Psychiatric Technician
Nursing Service Providers
PT34762
CA
OPI Codes

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