Individual
CHARLIE R NILAWAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E MARKET ST, LONG BEACH, CA 90805-5924
(562) 428-4222
(562) 428-0372
Mailing address
100 E MARKET ST, LONG BEACH, CA 90805-5924
(562) 428-4222
(562) 428-0372
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R1419560221
CA
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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