Organization
CHARLES A JANSEN, OD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A JANSEN O.D. (DR OWNER)
(951) 678-7100
Entity
Organization
Contact information
Practice address
4000 TYLER ST., RIVERSIDE, CA 92503
(951) 687-7100
(951) 687-1663
Mailing address
4000 TYLER ST., RIVERSIDE, CA 92503
(951) 687-7100
(951) 687-1663
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8158T
CA
Other
Enumeration date
06/07/2007
Last updated
09/09/2015
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