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NPI Code Detail

MEDICARE: DR. JAIME MICHELLE LA CHARITE M.D., M.P.H.

MEDICARE: DR. JAIME MICHELLE LA CHARITE M.D., M.P.H.
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
1208000000XPediatrics PhysicianA172122CA
2207R00000XInternal Medicine PhysicianA172122CA

General Provider Information

NPI Number : 1437680378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAIME MICHELLE LA CHARITE M.D., M.P.H.
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number : 310-301-8707
Fax Number :
Provider Business Practice Location Address
First Line : 514 N PROSPECT AVE STE 103
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-3037
Country : US
Telephone Number : 310-937-8555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2017
Last Update Date : 07/01/2025

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