Charese M Fannin is a Medical in Westminster, California. Charese M Fannin practices all healthcare services and medical treatments related to Medical. The NPI Number for Charese M Fannin is 1770517799. The last update date is 2015-05-06.
Charese M Fannin's current location address is Po Box 12110, Westminster, California. You can contact this provider via phone number 5628093571. The mailing address for Charese M Fannin is Po Box 12110, Westminster, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charese M Fannin |
|---|---|
| Address | Po Box 12110, Westminster, California |
| Phone Number | 5628093571 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1770517799 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2015-05-06 |
Provider Mailing Address Detail
| Address | Po Box 12110 |
|---|---|
| City | Westminster |
| State | California (CA) |
| Post Code | 926852110 |
| Phone Number | 5628093571 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA12007 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA12007 | CA | -- |
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What is the unique 10-digit identification code issued to Charese M Fannin by the Centers for Medicare & Medicaid Services?
The Charese M Fannin has been assigned the NPI (National Provider Identifier) 1770517799 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Charese M Fannin located?
The Charese M Fannin is located at Po Box 12110, Westminster, CA 926852110.
What is Charese M Fannin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charese M Fannin's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770517799 to Charese M Fannin?
The Centers for Medicare & Medicaid Services originally issued the 1770517799 to Charese M Fannin on 2006-07-10.
When was the information regarding Charese M Fannin most recently updated?
The details pertaining to the Charese M Fannin, including its address, specialty, and other relevant information, were last refreshed on 2015-05-06.