Organization
CHARLES W. MONIAK, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W MONIAK M.D. (OWNER/PHYSICIAN)
(949) 645-7870
Entity
Organization
Contact information
Practice address
320 SUPERIOR AVE, SUITE 230, NEWPORT BEACH, CA 92663-2716
(949) 645-7870
(949) 645-7923
Mailing address
320 SUPERIOR AVE, SUITE 230, NEWPORT BEACH, CA 92663-2716
(949) 645-7870
(949) 645-7923
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A63905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A639050
—
CA
Enumeration date
05/18/2011
Last updated
05/18/2011
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