Individual
CHARLES MCELYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-8570
(916) 734-7950
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-8570
(916) 734-7950
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A164485
CA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
A164485
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
A164485
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
10/17/2024
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