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General NPI Number Information
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NPI Number | 1619014750
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Entity Type | Organization
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Legal Business Name | DOCTORS TELEHEALTH NETWORK CA
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 3723 BIRCH ST SUITE 5
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2617
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Country | US
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Telephone | 949-553-0887
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Fax |
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Provider Business Mailing Address
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Address Line | 3723 BIRCH ST SUITE 5
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2617
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Country | US
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Telephone | 949-553-0887
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CHARLES F. STONE
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Credential | D.O.
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Telephone | 949-553-0887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20A7997
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License Number State | CA
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