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NPI Code Detail

MEDICARE: MR. CHARLES JOSEPH APERULE LAADC

MEDICARE: MR. CHARLES JOSEPH APERULE LAADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCADC-II A8488404CA
2101YA0400XAddiction (Substance Use Disorder) Counselor090315CA

General Provider Information

NPI Number : 1598896300
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHARLES JOSEPH APERULE LAADC
Provider Business Mailing Address
First Line : 4990 WILLIAMS AVE
Second Line :
City : LA MESA
State : CA
Zip : 91942-7409
Country : US
Telephone Number : 619-668-4249
Fax Number : 619-698-1665
Provider Business Practice Location Address
First Line : 7545 METROPOLITAN DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4402
Country : US
Telephone Number : 619-718-9890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 11/18/2019

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