| Marc a Charles MD Inc | |
|
1501 N Harbor Blvd Ste 203 Fullerton CA 92835-3803 | |
| (714) 871-5411 | |
| (714) 871-2401 |
| Full Name | Marc a Charles MD Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1501 N Harbor Blvd Ste 203, Fullerton, California |
| Authorized Official Name and Position | Marc a Charles (OWNER) |
| Authorized Official Contact | 7148715411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc a Charles MD Inc 1501 N Harbor Blvd Ste 203 Fullerton CA 92835-3803 Ph: (714) 871-5411 | Marc a Charles MD Inc 1501 N Harbor Blvd Ste 203 Fullerton CA 92835-3803 Ph: (714) 871-5411 |
| NPI Number | 1457544207 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 02/10/2011 |
| Medicare PECOS PAC ID | 8123017316 |
|---|---|
| Medicare Enrollment ID | O20040511001814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457544207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G40535 (California) | Primary |
| Provider Name | Marc a Charles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316032386 PECOS PAC ID: 1850380049 Enrollment ID: I20040513001101 |
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