Individual
TIMOTHY P. CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST, 2000, LOS ANGELES, CA 90033-5310
(323) 442-5860
(323) 442-6990
Mailing address
P.O. BOX 1162, LOS ANGELES, CA 90084-0001
(323) 442-5808
(323) 442-6296
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
A92746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A927460
BLUE SHIELD
CA
Enumeration date
06/01/2006
Last updated
12/03/2013
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