Individual
CHARLES LOUIS PANKRATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2705 LOMA VISTA RD STE 202, VENTURA, CA 93003-1580
(805) 667-2273
(805) 652-6379
Mailing address
5855 OLIVAS PARK DR, SUITE 203, VENTURA, CA 93003-7672
(805) 667-2801
(805) 667-2865
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A064556
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
A64556
CA
Other
Enumeration date
06/20/2006
Last updated
03/08/2021
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