CHARLES WAYNE PORTNEY

SANTA MONICA, CA
NPI1396720413
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: CA  G320840)
Enumeration Date2005-12-13
Last Update Date2007-07-08
Business Address
CHARLES WAYNE PORTNEY M.D.
2336 SANTA MONICA BLVD #100
SANTA MONICA, CA 90404-2095
Phone number: 310-828-7870
Mailing Address
CHARLES WAYNE PORTNEY M.D.
2336 SANTA MONICA BLVD #100
SANTA MONICA, CA 90404-2095
Phone number: 310-828-7870
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