Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES N HEADRICK, MD
Active Sole ProprietorDR. CHARLES N HEADRICK, MD is a Colon & Rectal Surgery healthcare provider located in TARZANA, California. NPI 1265537831 is currently active in the NPPES registry. Verify at CMS.
Colon & Rectal Surgery · TARZANA, CA
Registration Details
- NPI Number
- 1265537831
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2006 (19.886963504893 yrs)
- Last Updated
- Apr 15, 2009
- License
-
A 48418 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5525 ETIWANDA AVE#201TARZANA, CA, 91356Browse CA providers · Browse ZIP 91356
- Phone
- 8189968505
- Fax
- 8189968503
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
Other Colon & Rectal Surgery Providers in TARZANA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MUDJIANTO CHANDRA | M.D. | 1225152515 |
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.