Individual
DR. CHARLES E. IRWIN JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ACC 400 PARNASSUS AVE. 2ND FL., SAN FRANCISCO, CA 94143-0001
(415) 353-2002
(415) 353-2466
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G23139
CA
2080A0000X
Pediatric Adolescent Medicine Physician
G23139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G231390
—
CA
Enumeration date
06/25/2006
Last updated
09/11/2025
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