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Teodoro Lauro Carachure Charco, NP
Psychiatric/Mental Health Nurse Practitioner in Los Angeles, California
NPI 1568220788

Teodoro Lauro Carachure Charco is a Psychiatric/Mental Health Nurse Practitioner based in Tustin, CA and is specialized in Psychiatric/Mental Health. Teodoro Lauro Carachure Charco practices in Los Angeles, CA and has the professional credentials of NP. The NPI Number for Teodoro Lauro Carachure Charco is 1568220788 and holds a License No. 95029381 (California).

The current practice location address for Teodoro Lauro Carachure Charco is 3030 W Olympic Blvd Ste 217, Los Angeles, CA and can be reached out via phone at 213-550-2159.

Location: 3030 W Olympic Blvd Ste 217, Los Angeles, CA, 92780-6363
person
Provider Profile Details
NPI Number
1568220788
Provider Name
Teodoro Lauro Carachure Charco
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
3030 W Olympic Blvd Ste 217, Los Angeles, CA, 92780-6363
Phone Number
213-550-2159
Fax Number
Provider Enumeration Date
03/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3030 W Olympic Blvd Ste 217
City
State
Zip
90006-6507
Phone Number
213-550-2159
Fax Number
person
Provider Business Mailing Address Details
Address
3030 W Olympic Blvd Ste 217
City
State
Zip
90006-6507
Phone Number
213-550-2159
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95029381 (California)
Definition
Definition to come...
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