Provider Demographics
NPI:1306123906
Name:CHAVARIN, ROSARIO MARIA (WHNP-BC,MSN, RN, BS)
Entity type:Individual
Prefix:MRS
First Name:ROSARIO
Middle Name:MARIA
Last Name:CHAVARIN
Suffix:
Gender:F
Credentials:WHNP-BC,MSN, RN, BS
Other - Prefix:MRS
Other - First Name:ROSARIO
Other - Middle Name:MARIA
Other - Last Name:SORDO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:WHNP-BC, MSN, RN, BS
Mailing Address - Street 1:24241 HAWTHORNE BLVD # 201
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6504
Mailing Address - Country:US
Mailing Address - Phone:310-373-1042
Mailing Address - Fax:
Practice Address - Street 1:24241 HAWTHORNE BLVD # 201
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6504
Practice Address - Country:US
Practice Address - Phone:310-373-1042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA773081163W00000X
CA104026251363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse