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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES GREGORY PENDARVIS JR.

Active Sole Proprietor

CHARLES GREGORY PENDARVIS JR. is a Case Management Agency healthcare provider located in SUSANVILLE, California. NPI 1184349847 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · SUSANVILLE, CA

Registration Details

NPI Number
1184349847
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2022 (3.894122907017 yrs)
Last Updated
Oct 5, 2022
Sole Proprietor
Yes

Practice Information

Address
555 HOSPITAL LN
SUSANVILLE, CA, 961304808
Browse CA providers · Browse ZIP 96130
Phone
5302518108
Primary Specialty
Case Management Agency
251B00000X

Other Case Management Agency Providers in SUSANVILLE, CA

Name Credential NPI
MRS. GLENDA LEE TURNAGE 1154613834
ORLANDO MCELMURRY 1538560727
TRINITY LESLIE 1457724767
TINA RICHARDS 1427501055
TYLER POOR 1366075996
JOSHUA NEUBERT 1760058671
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.