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Individual

DR. CHARLES ANTHONY SKIBA JR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9229 WILSHIRE BLVD # 1, BEVERLY HILLS, CA 90210-5501
(323) 939-1603
(323) 939-1643
Mailing address
PO BOX 462051, LOS ANGELES, CA 90046-8051
(323) 939-1603
(323) 939-1643

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A9707
CA
208D00000X
General Practice Physician
20A9707
CA

Other

Enumeration date
10/03/2006
Last updated
09/03/2024
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