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Dr. Charles E Niesen, MD
Specialist in Pasadena, California
NPI 1710915830

Charles E Niesen is a Specialist based in Pasadena, CA. Charles E Niesen practices in Pasadena, CA and has the professional credentials of MD. The NPI Number for Charles E Niesen is 1710915830 and holds a License No. A54329 (California).

The current practice location address for Charles E Niesen is 960 E Green St, Pasadena, CA and can be reached out via phone at 626-599-7600 and via fax at 626-599-7601. You can also correspond with Charles E Niesen through the mailing address at 960 E GREEN ST, PASADENA, CA - 91106-2412 (mailing address contact number: 626-599-7600).

Location: 960 E Green St, Pasadena, CA, 91106-2412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710915830
Provider Name
Charles E Niesen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
960 E Green St, Pasadena, CA, 91106-2412
Phone Number
626-599-7600
Fax Number
626-599-7601
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
960 E Green St
City
Pasadena
State
California
Zip
91106-2412
Phone Number
626-599-7600
Fax Number
626-599-7601
person
Provider Business Mailing Address Details
Address
960 E Green St
City
Pasadena
State
California
Zip
91106-2412
Phone Number
626-599-7600
Fax Number
626-599-7601
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A54329 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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