| Toni D Johnson Chavis Md Inc | |
|
403 S Long Beach Blvd Ste B Compton CA 90221-3491 | |
| (323) 774-6551 | |
| (310) 763-2315 |
| Full Name | Toni D Johnson Chavis Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 403 S Long Beach Blvd Ste B, Compton, California |
| Authorized Official Name and Position | Toni D Johnson Chavis (CEO) |
| Authorized Official Contact | 3237746551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Toni D Johnson Chavis Md Inc 403 S Long Beach Blvd Ste B Compton CA 90221-3491 Ph: (323) 774-6551 | Toni D Johnson Chavis Md Inc 403 S Long Beach Blvd Ste B Compton CA 90221-3491 Ph: (323) 774-6551 |
| NPI Number | 1790479699 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Medicare PECOS PAC ID | 5698144459 |
|---|---|
| Medicare Enrollment ID | O20230712000855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790479699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Toni D Johnson Chavis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083728190 PECOS PAC ID: 8123160397 Enrollment ID: I20230727002742 |
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