Charles Etuk

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

45847 Issued in CA

Legal business name

CHARLES ETUK

Practice address

1011 S Gaffey St
San Pedro, CA 90731-4033

Phone

(310) 241-0886

Fax

(310) 241-0876

NPI assigned

Aug 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles E Etuk

Title

Director of Operation

Phone

(310) 241-0886

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1629183496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S GAFFEY ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314033",
            "telephone_number": "310-241-0886",
            "fax_number": "310-241-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S GAFFEY ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314033",
            "telephone_number": "310-241-0886",
            "fax_number": "310-241-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES ETUK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "ETUK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "310-241-0886"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucero Gonzalez Chacon
• Neil Ira Chafetz, M.D.
• Onintr Chanthanasuksilpa
• Matthew Chapin
• Charles Brown Healthcare, a Medical Corporation
• Breanna J Charles, LMFT
• Janet Chase
• Adriana Chavez
• Jennifer J Che, O.D
• Yana Cheatham

• Durable Medical Equipment & Medical Supplies in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.