Healthcare Provider Details

I. General information

NPI: 1497923247
Provider Name (Legal Business Name): CHARITY STYLES D.O., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 BOHANNON DR STE 280
MENLO PARK CA
94025-1019
US

IV. Provider business mailing address

4200 BOHANNON DR SUITE 280
MENLO PARK CA
94025
US

V. Phone/Fax

Practice location:
  • Phone: 708-722-2583
  • Fax:
Mailing address:
  • Phone: 708-722-2583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberDR.0048860
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number5101017501
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number48860
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: