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NPI Code Detail

MEDICARE: ALDRICH CARLES PA

MEDICARE: ALDRICH CARLES PA
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1366391120
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALDRICH CARLES PA
Provider Business Mailing Address
First Line : 537 N VERNON AVE
Second Line :
City : AZUSA
State : CA
Zip : 91702-2834
Country : US
Telephone Number : 323-919-0164
Fax Number :
Provider Business Practice Location Address
First Line : 525 E 12TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94606-2906
Country : US
Telephone Number : 800-607-6377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ ALDRICH CARLES PA” Practice Location

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