Charles W. Chidsey Iii, M.D., A Professional Corporation

LBN: Charles W. Chidsey Iii, M.D., A Professional Corporation
Charles W. Chidsey Iii, M.D., A Professional Corporation is an health care organization with primary practice located at 17075 Devonshire St Suite 106, Northridge CA 91325-5405. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Charles W. Chidsey Iii, M.D., A Professional Corporation can be contacted via phone (818) 363-9732, or through Chidsey, Charles W. via phone (818) 363-9732.

Contact Information

Primary practice address
17075 Devonshire St Suite 106 Northridge CA 91325-5405
Phone: (818) 363-9732
Fax: (818) 363-9853
Website:
Map and Directions
Authorized official contact:
Name: Chidsey, Charles W. Doctor of Medicine (MD)
Phone: (818) 363-9732

Health care specialties

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

Profile Details

NPI number 1255512075
LBN Legal business name Charles W. Chidsey Iii, M.D., A Professional Corporation
DBA Doing business as
Authorized official Chidsey, Charles W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2007
Last updated Jun 20th, 2012 - about 12 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 1255512075 NPPES
California Other 00G465240 BLUE SHIELD
California MEDICAID 00G465240 BLUE SHIELD
California Other G46524 BLUE SHIELD

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