Individual
DR. CHARLES JOHN DE MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4860 Y ST STE 3020, SACRAMENTO, CA 95817-2307
(916) 734-7246
(916) 734-5033
Mailing address
4860 Y ST STE 3020, SACRAMENTO, CA 95817-2307
(916) 734-7246
(916) 734-5033
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A13238
CA
Other
Enumeration date
05/28/2010
Last updated
09/04/2015
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