Individual
DR. CHARLES R. BATTAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 CONGRESS ST STE 103, PASADENA, CA 91105-3027
(626) 796-6164
(626) 796-0883
Mailing address
547 EAST UNION STREET, PASADENA, CA 91101
(626) 796-6164
(626) 769-0883
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G16535
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G165350
—
CA
Enumeration date
07/31/2006
Last updated
03/13/2020
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