Individual
DR. CHARLES WILLIAM GUSTAV EIFRIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23521 PASEO DE VALENCIA, SUITE 207 (TAJ MAJAL BUILDING), LAGUNA HILLS, CA 92653-3107
(949) 707-5125
Mailing address
23521 PASEO DE VALENCIA, SUITE 207 (TAJ MAJAL BUILDING), LAGUNA HILLS, CA 92653-3107
(949) 707-5125
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
200300335
NC
207W00000X
Ophthalmology Physician
C53104
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
C53104
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014T8
BCBS GROUP ID
—
01
—
134EF
BCBS INDIVIDUAL ID
—
01
—
2090301
UNITED HEALTHCARE INDIVID
—
01
—
2115757
MAMSI INDIVIDUAL ID
—
01
—
26600
OPTICARE INDIVIDUAL ID
—
01
—
3201207
AETNA HMO INDIVIDUAL ID
—
01
—
562043271
OPTICARE GROUP ID
—
01
—
7674444
AETNA PPO INDIVIDUAL ID
—
05
—
89014T8
—
NC
05
—
89134EF
—
NC
01
—
C7150
MEDCOST INDIVIDUAL ID
—
01
—
DB4007
RAILROAD MEDICARE GROUP
—
01
—
P00102182
RR MEDICARE INDIVIDUAL ID
—
Enumeration date
02/24/2006
Last updated
03/31/2017
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