MEDICARE: CHARLES JOSEPH FRANKEL M.D.

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
1	207RG0100X	Gastroenterology Physician	G53688	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558310805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES JOSEPH FRANKEL M.D.

Provider Business Mailing Address
First Line	:	1919 SANTA MONICA BLVD STE 200
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-1955
Country	:	US
Telephone Number	:	310-453-1871
Fax Number	:	310-453-3910

Provider Business Practice Location Address
First Line	:	1919 SANTA MONICA BLVD STE 200
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-1955
Country	:	US
Telephone Number	:	310-453-1871
Fax Number	:	310-453-3910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2006
Last Update Date	:	09/15/2020

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