Organization
CHARLES L. JANES, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYCE WATANABE (ADMINISTRATIVE ASSISTANT)
(213) 625-2694
Entity
Organization
Contact information
Practice address
420 E 3RD ST, SUITE 603, LOS ANGELES, CA 90013-1644
(213) 680-1551
(213) 680-2148
Mailing address
420 E 3RD ST, SUITE 603, LOS ANGELES, CA 90013-1644
(213) 680-1551
(213) 680-2148
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
A21690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A216900
—
CA
05
—
00A216901
—
CA
Enumeration date
01/08/2007
Last updated
08/22/2020
Update your record
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