Individual
DR. CHARLES P. NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10131 BIRCHWOOD DR, HUNTINGTON BEACH, CA 92646-5432
(714) 968-7744
Mailing address
10131 BIRCHWOOD DR, HUNTINGTON BEACH, CA 92646-5432
(714) 968-7744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C33655
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C33655
MEDICAL LICENSE NUMBER
CA
Enumeration date
08/18/2014
Last updated
08/18/2014
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