Individual
MR. CHARLES JENCKES BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6123 JORDAN AVE, EL CERRITO, CA 94530-1549
(510) 237-2823
(510) 237-9213
Mailing address
6123 JORDAN AVE, EL CERRITO, CA 94530-1549
(510) 237-2823
(510) 237-9213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G28760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G287630
—
CA
Enumeration date
01/05/2007
Last updated
07/08/2007
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