Individual
CHARLES CASASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST STE B-100, LOMA LINDA, CA 92354-3450
(909) 558-2828
Mailing address
11370 ANDERSON ST STE B-100, LOMA LINDA, CA 92354-3450
(909) 558-2880
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
167586
CA
Other
Enumeration date
06/12/2015
Last updated
07/30/2020
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