Healthcare Provider Details

I. General information

NPI: 1083926026
Provider Name (Legal Business Name): CHARMS PROPERTY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2010
Last Update Date: 06/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 TERRACINA BLVD STE 211B
REDLANDS CA
92373-4852
US

IV. Provider business mailing address

245 TERRACINA BLVD STE 211B
REDLANDS CA
92373-4852
US

V. Phone/Fax

Practice location:
  • Phone: 909-307-0900
  • Fax:
Mailing address:
  • Phone: 909-307-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number3321368
License Number StateCA

VIII. Authorized Official

Name: MR. ESMOND GEE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: CEO
Phone: 909-307-0900