Individual
CHARLES OWYANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
710 LAWRENCE EXPY, DEPT 190, SANTA CLARA, CA 95051-5173
(408) 851-1112
Mailing address
710 LAWRENCE EXPY, DEPT 190, SANTA CLARA, CA 95051-5173
(408) 851-1112
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A 68755
CA
Other
Enumeration date
08/26/2005
Last updated
12/13/2021
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