Individual
MR. CHARLIE FERRELL IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
545 S FIGUEROA ST # 1125, LOS ANGELES, CA 90071-1704
(310) 263-8887
Mailing address
545 S FIGUEROA ST # 1125, LOS ANGELES, CA 90071-1704
(310) 263-8887
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
95077364
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
95077364
CA
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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