Individual
DR. CHARLES BOOKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3260 KERNER BLVD, SAN RAFAEL, CA 94901-4861
(415) 499-6890
(415) 499-4213
Mailing address
9 COMMERCIAL BLVD 103, NOVATO, CA 94949-6118
(415) 448-1500
(415) 798-3180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G21934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G219340
—
CA
01
—
G21934
CA LICENSE NUMBER
CA
Enumeration date
03/27/2006
Last updated
11/09/2015
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