Individual
DR. CHARLES BERRY TESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2929 HEALTH CENTER DR, SAN DIEGO, CA 92123-2762
(858) 939-6621
(858) 874-2348
Mailing address
2929 HEALTH CENTER DR, SAN DIEGO, CA 92123-2762
(858) 939-6621
(858) 874-2348
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G46482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G464820
—
CA
Enumeration date
08/31/2006
Last updated
06/27/2013
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