Provider Demographics
NPI:1396124145
Name:ALDERSON, CHEVON (MD)
Entity type:Individual
Prefix:
First Name:CHEVON
Middle Name:
Last Name:ALDERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1171 CAMINO LEVANTE
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-3453
Mailing Address - Country:US
Mailing Address - Phone:310-622-2802
Mailing Address - Fax:844-404-8924
Practice Address - Street 1:2630 1ST AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-6599
Practice Address - Country:US
Practice Address - Phone:619-234-2158
Practice Address - Fax:619-234-0206
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2025-04-03
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Provider Licenses
StateLicense IDTaxonomies
CAA155746207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine