Individual
DR. CHARLES FESSENDEN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15025 INNOVATION DR, SAN DIEGO, CA 92128-3409
(858) 487-1800
(858) 784-5933
Mailing address
FILE #54433, LOS ANGELES, CA 90074-0001
(858) 784-5767
(858) 784-5933
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G30356
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G303560
—
CA
Enumeration date
09/01/2006
Last updated
07/24/2007
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