Individual
CHARON SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 BAKER ST STE A, COSTA MESA, CA 92626-4566
(714) 361-6760
Mailing address
275 BAKER ST STE A, COSTA MESA, CA 92626-4566
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
11/11/2025
Last updated
12/05/2025
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