Mayfield, Charles W

Mayfield, Charles W is an individual health care provider with primary practice located at 1225 E Latham Ave Ste B , Hemet CA 92543-4423. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mayfield, Charles W can be contacted via phone (951) 929-2800.

Contact Information

Primary practice address
1225 E Latham Ave Ste B Hemet CA 92543-4423
Phone: (951) 929-2800
Fax: (951) 929-2303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16292 Minnesota

Profile Details

NPI number 1932253242
LBN Legal business name Mayfield, Charles W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932253242 NPPES
California MEDICAID CA137652

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