Individual provider · Type 1 NPI

Ma Khristin Chavez

Student in an Organized Health Care Education/Training Program · San Jose, CA

NPI number 1548945561 Active

Practice location

160 E Virginia St Ste 280
San Jose, CA 95112-5817

Mailing address

1319 Lilac St
Lodi, CA 95242-9190

Other practice locations

  • 1319 Lilac St, Lodi, CA 95242-9190 · (408) 375-0881

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

169 other providers at this address

Other student in an organized health care education/training program providers in San Jose

See all in San Jose →

About NPI 1548945561

Ma Khristin Chavez's National Provider Identifier is 1548945561, issued on Jun 19, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Jun 30, 2023.