| Charles M Maples | |
|
3771 Katella Ave Suite 110 Los Alamitos CA 90720-3108 | |
| (562) 430-6850 | |
| (562) 280-2882 |
| Full Name | Charles M Maples |
|---|---|
| Speciality | Family Medicine |
| Location | 3771 Katella Ave, Los Alamitos, California |
| Authorized Official Name and Position | Charles M Maples (PRESIDENT/PROVIDER) |
| Authorized Official Contact | 5624306850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles M Maples 3771 Katella Ave Suite 110 Los Alamitos CA 90720-3108 Ph: (562) 430-6850 | Charles M Maples 3771 Katella Ave Suite 110 Los Alamitos CA 90720-3108 Ph: (562) 430-6850 |
| NPI Number | 1073700159 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 10/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073700159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6903 (California) | Primary |
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