| NPI Details | |
|---|---|
| NPI | 1073700159 |
| Enumeration Date | 10/02/2007 |
| Last Updated | 10/02/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 9 years ago |
| Authorized Information | |
|---|---|
| Name | CHARLES M CHARLES |
| Position | PRESIDENT/PROVIDER |
| Phone | (562) 430-6850 |
| Fax | (562) 280-2882 |
| Practice Location | |
|---|---|
| 3771 KATELLA AVE SUITE 110 LOS ALAMITOS CA, 90720-3108, US |
|
| Phone | (562) 430-6850 |
| Fax | (562) 280-2882 |
| Business Location | |
|---|---|
| 3771 KATELLA AVE SUITE 110 LOS ALAMITOS CA, 90720-3108, US |
|
| Phone | (562) 430-6850 |
| Fax | (562) 280-2882 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207Q00000X |
| License State | California |
| License Number | 20A6903 |
| Remove 1073700159 NPI Number | |
According to our database, Charles M. Maples, Do NPI is 1073700159, taxonomy code is 207Q00000X and license number is 20A6903, license state is located at California. Charles M. Maples, Do physically located at 3771 Katella Ave, Los Alamitos CA, 90720-3108. NPI Number 1033115704 has the healthcare provider type.
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1073700159 NPI number is provided on an as is basis without warranty of any kind. 1073700159 is maintained by the National Plan & Provider Enumeration System. The contents of Charles M. Maples, Do are for informational purposes only.
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