Individual
DR. CHARLES N HEADRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5525 ETIWANDA AVE, #201, TARZANA, CA 91356
(818) 996-8505
(818) 996-8503
Mailing address
5525 ETIWANDA AVE, #201, TARZANA, CA 91356
(818) 996-8505
(818) 996-8503
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A 48418
CA
Other
Enumeration date
09/14/2006
Last updated
04/15/2009
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