Charles Enzio Pinkston in Pomona - Physician Assistant
Charles Enzio Pinkston - NPI 1063568905
Charles Enzio Pinkston is a Physician Assistant in Pomona, California. Charles Enzio Pinkston practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charles Enzio Pinkston is 1063568905. The last update date is 2007-07-08.
Charles Enzio Pinkston's current location address is 1532 San Bernardino Ave, Pomona, California. You can contact this provider via phone number 9096240392 and fax number 9096240984. The mailing address for Charles Enzio Pinkston is 1532 San Bernardino Ave, Pomona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Enzio Pinkston |
|---|---|
| Address | 1532 San Bernardino Ave, Pomona, California |
| Phone Number | 9096240392 |
| Fax Number | 9096240984 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1063568905 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1532 San Bernardino Ave |
|---|---|
| City | Pomona |
| State | California (CA) |
| Post Code | 917673559 |
| Phone Number | 9096240392 |
| Fax Number | 9096240984 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA14875 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Charles Enzio Pinkston by the Centers for Medicare & Medicaid Services?
The Charles Enzio Pinkston has been assigned the NPI (National Provider Identifier) 1063568905. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Charles Enzio Pinkston's facilities are situated?
The facilities of Charles Enzio Pinkston are physically located at the following address: 1532 San Bernardino Ave, Pomona, CA, 917673559.
What is Charles Enzio Pinkston's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Enzio Pinkston's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Charles Enzio Pinkston receive its 1063568905 assignment from the Centers for Medicare & Medicaid Services?
The Charles Enzio Pinkston was assigned its 1063568905 by the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the information related to Charles Enzio Pinkston most recently updated or refreshed?
The details pertaining to the Charles Enzio Pinkston, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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