Individual provider · Type 1 NPI

Charles M. Walworth, MD

Specialist · Fountain Valley, CA

NPI number 1629057625 Active

Practice location

11190 Warner Ave, Suite 411
Fountain Valley, CA 92708-4019

Call (714) 751-5800 Map

Fax (714) 751-5860

Mailing address

1380 Hillcrest Dr
Laguna Beach, CA 92651-1447

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG83332 (CA)

Specialist: 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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About NPI 1629057625

Charles M. Walworth, MD's National Provider Identifier is 1629057625, issued on Jan 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fountain Valley, CA. The record was last updated on Jul 13, 2026.