Individual
DR. CHARLES S. TAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28780 SINGLE OAK DRIVE, SUITE 160, TEMECULA, CA 92590-5528
(951) 676-4193
(951) 719-1469
Mailing address
28780 SINGLE OAK DRIVE, SUITE 160, TEMECULA, CA 92590-5528
(951) 676-4193
(951) 719-1469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G55046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ49298Z
BLUE SHIELD
CA
Enumeration date
04/28/2006
Last updated
02/11/2011
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