Individual
DR. CHARMAINE DY-SY REGHITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5252
(310) 423-8441
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42852
CO
207R00000X
Internal Medicine Physician
C165877
CA
208M00000X
Hospitalist Physician
42852
CO
208M00000X
Hospitalist Physician
Primary
C165877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44956037
—
CO
01
—
P00669805
MEDICARE RR
CO
Enumeration date
02/02/2006
Last updated
06/15/2022
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