JEAN-ESDRACE GERMAIN CHARLES

Address: 7715 W Sunset Blvd Frnt, Los Angeles, CA 90046-3912

JEAN-ESDRACE GERMAIN CHARLES (NPI# 1194309237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194309237
Entity Type Individual
Full Name JEAN-ESDRACE GERMAIN CHARLES
Gender Male
Credential DR.
Practice Address 7715 W Sunset Blvd Frnt
Los Angeles
CA 90046-3912
US
Practice Telephone 8182098147
Mailing Address 145 S Glenoaks Blvd # 303
Burbank
CA 91502-1315
US
Mailing Telephone 8182098147
Certification Date 2021-05-05
Enumeration Date 2021-05-05
Last Update Date 2021-05-05
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101200000X 00000000 FL

Office Location

Street Address 7715 W SUNSET BLVD FRNT
City LOS ANGELES
State CA
Zip Code 90046-3912

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Taxonomy Information

Taxonomy Definition

Competitor

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City LOS ANGELES
Zip Code 90046

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.