Individual
CHARLES CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4228 WISCONSIN AVE NW, WASHINGTON, DC 20016-2138
(202) 885-5600
Mailing address
1601 DOVE ST STE 185, NEWPORT BEACH, CA 92660-2441
(949) 359-8010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD210002247
DC
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
A126814
CA
Other
Enumeration date
03/26/2012
Last updated
09/15/2022
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