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Organization

CHARLES CHALEKSON, MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES CHALEKSON MD (PRESIDENT)
(805) 434-2828
Entity
Organization

Contact information

Practice address
1310 LAS TABLAS RD, SUITE 202, TEMPLETON, CA 93465-9737
(805) 434-2828
(805) 434-9928
Mailing address
1310 LAS TABLAS RD, SUITE 202, TEMPLETON, CA 93465-9737
(805) 434-2828
(805) 434-9928

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A77782
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1770668642
NPI-INDIVIDUAL
CA
Enumeration date
02/13/2007
Last updated
02/24/2011
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