Organization
CHARLES R STEVENS M.D, APC
Active
Other names
Advanced Pain Associates, A.P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CELIA A ZAYAS (OFFICE MANAGER)
(760) 482-0212
Entity
Organization
Contact information
Practice address
1665 S IMPERIAL AVE STE D, EL CENTRO, CA 92243-4247
(760) 482-0212
(760) 482-0166
Mailing address
1665 S IMPERIAL AVE STE D, EL CENTRO, CA 92243-4247
(760) 482-0212
(760) 482-0166
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A104563
MEDICAL LICENSE
CA
01
—
BH832
MEDICARE
CA
Enumeration date
08/14/2007
Last updated
02/06/2023
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