Charles Peters Lee in Loma Linda - General Practice

Charles Peters Lee - NPI 1891942744

Charles Peters Lee is a General Practice in Loma Linda, California. Charles Peters Lee practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles Peters Lee is 1891942744. The last update date is 2008-08-22.

Charles Peters Lee's current location address is 11092 Anderson Street, Loma Linda, California. You can contact this provider via phone number 9095584613 and fax number 9095584192. The mailing address for Charles Peters Lee is 11092 Anderson Street, Loma Linda, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Peters Lee
Address 11092 Anderson Street, Loma Linda, California
Phone Number 9095584613
Fax Number 9095584192
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1891942744
Provider Enumeration Date 2008-08-22
Last Updated Date 2008-08-22

Provider Mailing Address Detail

Address 11092 Anderson Street
City Loma Linda
State California (CA)
Post Code 92350
Phone Number 9095584613
Fax Number 9095584192

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 25930
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25930 CA STATE LICENSE

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FAQs about Charles Peters Lee

What is the unique identifier code issued to Charles Peters Lee by the Centers for Medicare & Medicaid Services (CMS)?

The Charles Peters Lee has been assigned the NPI (National Provider Identifier) 1891942744. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Charles Peters Lee's physical address?

The Charles Peters Lee is physically located at 11092 Anderson Street, in the city of Loma Linda, CA, with the postal code 92350.

What is the area of specialization for Charles Peters Lee, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Charles Peters Lee is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1891942744 to Charles Peters Lee?

The Charles Peters Lee received its 1891942744 assignment from the Centers for Medicare & Medicaid Services on 2008-08-22.

When was the information pertaining to Charles Peters Lee most recently updated or revised?

The details related to Charles Peters Lee, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-22.

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