Charles M Walworth in Laguna Beach - Specialist

Charles M Walworth - NPI 1629057625

Charles M Walworth is a Specialist in Laguna Beach, California. Charles M Walworth practices all healthcare services and medical treatments related to Specialist. The NPI Number for Charles M Walworth is 1629057625. The last update date is 2007-07-08.

Charles M Walworth's current location address is 1380 Hillcrest Dr, Laguna Beach, California. You can contact this provider via phone number 9493765731. The mailing address for Charles M Walworth is 1380 Hillcrest Dr, Laguna Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles M Walworth
Address 1380 Hillcrest Dr, Laguna Beach, California
Phone Number 9493765731
Fax Number
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1629057625
Provider Enumeration Date 2006-01-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1380 Hillcrest Dr
City Laguna Beach
State California (CA)
Post Code 926511447
Phone Number 9493765731
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G83332
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Charles M Walworth

What is the unique 10-digit identification code assigned to Charles M Walworth by the Centers for Medicare & Medicaid Services?

The Charles M Walworth has been issued the NPI (National Provider Identifier) 1629057625, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Charles M Walworth's facilities are situated?

The facilities of Charles M Walworth are physically located at the following address: 1380 Hillcrest Dr, Laguna Beach, CA, 926511447.

What is Charles M Walworth's specialized field of practice, and what is the corresponding taxonomy classification code?

The Charles M Walworth's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1629057625 to Charles M Walworth?

The Charles M Walworth received its 1629057625 assignment from the Centers for Medicare & Medicaid Services on 2006-01-10.

As of what date were the details related to Charles M Walworth most recently updated or revised?

The information pertaining to Charles M Walworth, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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