Individual provider · Type 1 NPI

Juan-Carlos Manuel Chavez, PA-C

Surgical Physician Assistant · Burlingame, CA

NPI number 1497059117 Active

Practice location

1501 Trousdale Dr, 1st Floor
Burlingame, CA 94010-4506

Mailing address

3308 Glendora Dr
San Mateo, CA 94403-3705

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA22713 (CA)
Physician Assistant 363A00000XPA22713 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1497059117

Juan-Carlos Manuel Chavez, PA-C's National Provider Identifier is 1497059117, issued on Jan 10, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Burlingame, CA. The record was last updated on Jan 3, 2024.