Individual
CHARLIE LOC KANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 W EL PORTAL DR, MERCED, CA 95348-2853
(209) 723-3704
(209) 723-0272
Mailing address
PO BOX 3768, MERCED, CA 95344-3768
(209) 723-3704
(209) 726-0272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G74907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G749070
—
CA
Enumeration date
08/31/2006
Last updated
12/10/2020
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