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CHRISTOPHER J. CHARBONNET M.D. A PROFESSIONAL CORPORATION NPI 1679785695


NPI Information

NPI: 1679785695
Provider Name: CHRISTOPHER J. CHARBONNET, M.D., A PROFESSIONAL CORPORATION
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1530 E CHEVY CHASE DR
STE 204
GLENDALE, CA
ZIP 91206
Phone: (818) 241-7246
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CHRISTOPHER J. CHARBONNET, M.D., A PROFESSIONAL CORPORATION is an interventional pain medicine pain medicine in Glendale, CA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. CHRISTOPHER J. CHARBONNET, M.D., A PROFESSIONAL CORPORATION NPI is 1679785695. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1530 E CHEVY CHASE DR
STE 204
GLENDALE, CA
ZIP 91206-163
Phone: (818) 241-7246
Fax: (505) 293-1524

The provider's authorized official is Christopher J Charbonnet .
The authorized official title is President and has the following contact phone number (818) 550-0900.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 4/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineG79131CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G791310OTHERCALIFORNIABLUE SHIELD
2G79131BMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
300G791310MEDICAIDCALIFORNIA
4G34582MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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