Individual
DR. CHARLES W CHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 HODENCAMP RD, THOUSAND OAKS, CA 91360-5810
(818) 719-4643
Mailing address
145 HODENCAMP RD, THOUSAND OAKS, CA 91360-5810
(818) 719-4643
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A108491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121774
—
AZ
01
—
P00348654
RAILROAD MEDICARE
AZ
Enumeration date
07/01/2006
Last updated
11/30/2021
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