Individual
CHARLES H MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MEDICAL PLZ, LOS ANGELES, CA 90095-0001
(310) 825-9989
Mailing address
FILE 2939, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A66446
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780698969
—
CA
Enumeration date
07/27/2006
Last updated
07/30/2013
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