Individual
CHARLES V. DIRAIMONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2485 HIGH SCHOOL AVE, SUITE 112, CONCORD, CA 94520-1819
(925) 798-2650
(925) 671-9173
Mailing address
2485 HIGH SCHOOL AVE, SUITE 112, CONCORD, CA 94520-1819
(925) 798-2650
(925) 671-9173
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G60786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G607862
MEDICARE PTAN
—
Enumeration date
07/12/2006
Last updated
05/29/2009
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