# CHARLES J ABBOTT MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083701460
- **Authorized official:** DR. CHARLES J ABBOTT MD (PRESIDENT)
- **Authorized official phone:** (323) 605-3772

## Contact information

- **Practice address:** 6333 WILSHIRE BLVD, \#210, LOS ANGELES, CA 90048-5724
- **Practice address phone:** (323) 655-3772
- **Practice address fax:** (323) 655-5012
- **Mailing address:** 6333 WILSHIRE BLVD, \#210, LOS ANGELES, CA 90048-5724
- **Mailing address phone:** (323) 655-3772
- **Mailing address fax:** (323) 655-5012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G39546 | CA | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G395460 | — | CA |