Individual
DR. CHARLES I. KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, ANNENBERG 2 WEST, RANCHO MIRAGE, CA 92270-3221
(760) 834-7870
(760) 834-7871
Mailing address
39000 BOB HOPE DR, ANNENBERG 2 WEST, RANCHO MIRAGE, CA 92270-3221
(760) 834-7870
(760) 834-7871
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A100046
CA
208100000X
Physical Medicine & Rehabilitation Physician
MD27724
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403418000
—
MD
Enumeration date
06/09/2006
Last updated
11/05/2021
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