| Charles F. Stone, D.o. | |
|
67 Via Sonrisa San Clemente CA 92673-5691 | |
| (949) 278-2395 | |
| (888) 742-7014 |
| Full Name | Charles F. Stone, D.o. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 67 Via Sonrisa, San Clemente, California |
| Authorized Official Name and Position | Charles Frederick Stone (OWNER) |
| Authorized Official Contact | 9492782395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles F. Stone, D.o. 67 Via Sonrisa San Clemente CA 92673-5691 Ph: (949) 278-2395 | Charles F. Stone, D.o. 67 Via Sonrisa San Clemente CA 92673-5691 Ph: (949) 278-2395 |
| NPI Number | 1134883051 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/30/2021 |
| Certification Date | 10/30/2021 |
| Medicare PECOS PAC ID | 1355739756 |
|---|---|
| Medicare Enrollment ID | O20211103001361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134883051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
| Provider Name | Charles F Stone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760540991 PECOS PAC ID: 7911927918 Enrollment ID: I20051206000569 |
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