Individual
CHARLENE TORKAN LICHTASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
292 S LA CIENEGA BLVD STE 321, BEVERLY HILLS, CA 90211-3383
(310) 355-8875
Mailing address
292 S LA CIENEGA BLVD STE 321, BEVERLY HILLS, CA 90211-3383
(310) 355-8875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A1138989
CA
Other
Enumeration date
05/01/2009
Last updated
05/02/2024
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