Individual
DR. BURT CHARUWORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1245 16TH ST, #204, SANTA MONICA, CA 90404-1235
(310) 828-0174
Mailing address
1245 16TH ST, SUITE 204, SANTA MONICA, CA 90404-1235
(310) 828-0174
(310) 828-2824
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A73156
CA
Other
Enumeration date
07/09/2006
Last updated
11/30/2021
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