Individual
CHARLES E HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7825 FAY AVENUE, SUITE 200, LA JOLLA, CA 92037-4270
(858) 454-1850
(858) 454-1859
Mailing address
7825 FAY AVENUE, SUITE 200, LA JOLLA, CA 92037-4270
(858) 454-1850
(858) 454-1859
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G025084
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G025084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4516428
—
CA
Enumeration date
07/12/2006
Last updated
09/18/2018
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