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

DR. CHARLES WILLIAM GUSTAV EIFRIG, M.D.

Active

DR. CHARLES WILLIAM GUSTAV EIFRIG, M.D. is a Sports Medicine (Emergency) healthcare provider located in LAGUNA HILLS, California. NPI 1306812979 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Emergency) · LAGUNA HILLS, CA

Registration Details

NPI Number
1306812979
Provider Type
Individual
Gender
Male
NPI Issued
Feb 24, 2006 (20.508989100549 yrs)
Last Updated
Mar 31, 2017
Licenses
200300335 (NC)
C53104 (CA)
C53104 (CA)

Practice Information

Address
23521 PASEO DE VALENCIA
SUITE 207 (TAJ MAJAL BUILDING)
LAGUNA HILLS, CA, 926533107
Browse CA providers · Browse ZIP 92653
Phone
9497075125
Primary Specialty
Sports Medicine (Emergency)
207WX0107X
Additional Specialty
Ophthalmology
Additional Specialty
Sports Medicine (Emergency)

Other Sports Medicine (Emergency) Providers in LAGUNA HILLS, CA

Name Credential NPI
JOHN S LEAN M D F R C S 1962513465
JOHN HWANG MD 1629235510
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.