Individual
AVA MAGDALENE CHARBONEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2080 CENTURY PARK E STE 710, LOS ANGELES, CA 90067-2010
(310) 715-3237
Mailing address
2080 CENTURY PARK E STE 710, LOS ANGELES, CA 90067-2010
(206) 914-6892
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
07/13/2025
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