Organization
CHARLES M MAPLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M MAPLES D.O. (PRESIDENT/PROVIDER)
(562) 430-6850
Entity
Organization
Contact information
Practice address
3771 KATELLA AVE, SUITE 110, LOS ALAMITOS, CA 90720-3108
(562) 430-6850
(562) 280-2882
Mailing address
3771 KATELLA AVE, SUITE 110, LOS ALAMITOS, CA 90720-3108
(562) 430-6850
(562) 280-2882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6903
CA
Other
Enumeration date
10/02/2007
Last updated
10/09/2018
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