Individual
DR. CHARLES TELFORD BELL MCTAVISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 UCLA MEDICAL PLZ STE 2200, LOS ANGELES, CA 90095-3674
(310) 825-9989
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
303169
NY
2084P0800X
Psychiatry Physician
Primary
A178694
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A178694
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/21/2017
Last updated
07/15/2024
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