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NPI Code Detail

MEDICARE: CHARLES LOUY MD

MEDICARE: CHARLES LOUY MD
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
1207L00000XAnesthesiology PhysicianG55264CA
2207LP2900XPain Medicine (Anesthesiology) PhysicianG55264CA

General Provider Information

NPI Number : 1275531717
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES LOUY MD
Provider Business Mailing Address
First Line : PO BOX 3129
Second Line :
City : TORRANCE
State : CA
Zip : 90510-3129
Country : US
Telephone Number : 310-792-3914
Fax Number : 855-898-4055
Provider Business Practice Location Address
First Line : 2121 SANTA MONICA BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2303
Country : US
Telephone Number : 310-448-3459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 04/05/2023

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Directions to “ CHARLES LOUY MD” Practice Location

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