Individual
MR. CHARLES WALLACE MONIAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 SUPERIOR AVE, #230, NEWPORT BEACH, CA 92663
(949) 645-7870
(949) 645-7923
Mailing address
320 SUPERIOR AVE, #230, NEWPORT BEACH, CA 92663
(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
04/27/2006
Last updated
12/31/2025
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