Name
Mark Chavez
Year of birth
1970
Source
USA - Health and Human Services List of Excluded Individuals and Entities
Aliases
Privacy Request
Additional Information
General: PHYSICIAN (MD, DO)
Specialty: EMERGENCY MEDICINE
Medical license number: 1487813150
Address: 11317 CARMEL CREEK ROAD
City: SAN DIEGO
State: CA
Zip code: 92130
Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))
Exclusion date: 2025-01-20