Moniak, Charles Wallace

Moniak, Charles Wallace is an individual health care provider with primary practice located at 320 Superior Ave #230, Newport Beach CA 92663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Moniak, Charles Wallace can be contacted via phone (949) 645-7870.

Contact Information

Primary practice address
320 Superior Ave #230 Newport Beach CA 92663
Phone: (949) 645-7870
Fax: (949) 645-7923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A63905 California

Profile Details

NPI number 1366409096
LBN Legal business name Moniak, Charles Wallace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366409096 NPPES
California MEDICAID 00A639050

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