Individual
CHARLES EDWARD MCWELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 E 3RD ST, LOS ANGELES, CA 90013-1629
(213) 626-6411
Mailing address
470 E 3RD ST, LOS ANGELES, CA 90013-1629
(213) 626-6411
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N3626194
—
CA
Enumeration date
03/30/2018
Last updated
03/30/2018
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