Panadero, Charles Vincent

Panadero, Charles Vincent is an individual health care provider with primary practice located at 4250 Auburn Blvd , Sacramento CA 95841-4100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Panadero, Charles Vincent can be contacted via phone (916) 489-3336.

Contact Information

Primary practice address
4250 Auburn Blvd Sacramento CA 95841-4100
Phone: (916) 489-3336
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X A77796 California

Profile Details

NPI number 1902881808
LBN Legal business name Panadero, Charles Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Sep 7th, 2007 - about 19 years 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 1902881808 NPPES
California MEDICAID 00A777960

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