Individual
DR. CHARLES COONAN STREIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 W BASTANCHURY RD, # 180, FULLERTON, CA 92835-3419
(714) 870-5970
(714) 870-4792
Mailing address
301 W BASTANCHURY RD, # 180, FULLERTON, CA 92835-3419
(714) 870-5970
(714) 870-4792
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A25530
CA
Other
Enumeration date
07/18/2005
Last updated
10/30/2012
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