Most Relevant Information
Provider Data
| NPI Number: | 1003207291 |
| Provider Name: | CHARLES DAVID CARR ACSW |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/10/2015 |
| Last Updated: | 08/17/2018 |
Provider Practice Location
1224 VINE ST
LOS ANGELES
CA
90038
Practice Location Phone/Fax
| Phone: | 3237696100 |
| Fax: |
Provider Mailing Location
100 W 1ST ST
LOS ANGELES
CA
900124112
Provider Mailing Phone/Fax
| Phone: | 2139961347 |
| Fax: |