Charles M. Maples, Do

NPI 1073700159 - Family Medicine - 207Q00000X

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.