Individual
CHARLES EDWARD OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 N TUSTIN AVE, SANTA ANA, CA 92705-3502
(714) 953-3515
(714) 953-4529
Mailing address
PO BOX 10790, SANTA ANA, CA 92711-0790
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G33281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G332811
—
CA
Enumeration date
08/31/2005
Last updated
07/20/2007
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