Individual
CHARLES MICHAEL WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9850 GENESEE AVE, SUITE 780, LA JOLLA, CA 92037-1232
(858) 450-3388
(858) 450-3157
Mailing address
9888 GENESEE AVE, SUITE 780, LA JOLLA, CA 92037-1205
(858) 450-3388
(858) 450-3157
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G 58919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104861459
NEIGHBORHOOD HEALTH PLAN
MA
01
—
11787037
CAQH
MA
05
—
2146711
—
MA
01
—
AA107087
HARVARD PILGRIM
MA
01
—
J42564
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/19/2006
Last updated
10/13/2016
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