Charles R. Humphrey, M.D.,Inc

LBN: Charles R. Humphrey, M.D.,Inc
Charles R. Humphrey, M.D.,Inc is an health care organization with primary practice located at 1415 Ross Ave , El Centro CA 92243-4306. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Charles R. Humphrey, M.D.,Inc can be contacted via phone (760) 355-2207, or through Humphrey, Charles R. via phone (760) 355-2207.

Contact Information

Primary practice address
1415 Ross Ave El Centro CA 92243-4306
Phone: (760) 355-2207
Fax: (760) 355-2207
Website:
Map and Directions
Authorized official contact:
Name: Humphrey, Charles R. Doctor of Medicine (MD)
Phone: (760) 355-2207

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G23919 California

Profile Details

NPI number 1669680260
LBN Legal business name Charles R. Humphrey, M.D.,Inc
DBA Doing business as
Authorized official Humphrey, Charles R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Feb 28th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669680260 NPPES
California MEDICAID 00G239190
California Other W1580

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