Individual
CHARLES L HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8930 S SEPULVEDA BLVD STE 200, LOS ANGELES, CA 90045-3624
(310) 641-8111
(310) 337-7274
Mailing address
PO BOX 9789, MARINA DEL REY, CA 90295-2189
(310) 577-8500
(310) 305-7119
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G84865
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G84865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006848650
—
CA
Enumeration date
02/13/2007
Last updated
03/17/2018
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