Charles L Wiseman MD Apc

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

A24132 Issued in CA

Legal business name

CHARLES L WISEMAN MD APC

Practice address

201 S Alvarado St
Suite 321
Los Angeles, CA 90057-2320

Phone

(213) 483-8464

Fax

(213) 483-8307

NPI assigned

Sep 27, 2007

Last updated

Sep 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles L Wiseman, MD

Title

Owner/President

Phone

(213) 483-8464

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1871780577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "SUITE 321",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572320",
            "telephone_number": "213-483-8464",
            "fax_number": "213-483-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "SUITE 321",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572320",
            "telephone_number": "213-483-8464",
            "fax_number": "213-483-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES L WISEMAN MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "213-483-8464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A24132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A241320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Drew University of Medicine & Science
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• Charles Joel. Burstin MD Inc
• Charles L. Foster Jr. DDS Inc. (Kids Dental Kare)
• Charles L. Herring, MD, Apc
• Charles L. Janes, MD Inc
• Charles R. Vaughn DO, a Medical Corporation
• Charles Ray Cochran, Licensed Clinical Social Worker Inc.

• Medical Oncology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.