Individual provider · Type 1 NPI
Charles Fagenholz, DC
Independent Medical Examiner Chiropractor · Costa Mesa, CA
NPI number
1841646809
Active
Practice location
3151 Airway Ave, U-3
Costa Mesa, CA 92626-4607
Mailing address
21264 Beach Blvd, #203
Huntington Beach, CA 92648-5482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Medical Examiner Chiropractor Primary | 111NI0013X | 33312 (CA) |
Independent Medical Examiner Chiropractor: A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
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About NPI 1841646809
Charles Fagenholz, DC's National Provider Identifier is 1841646809, issued on May 9, 2016. The primary taxonomy on file is Independent Medical Examiner Chiropractor (111NI0013X), and the practice location is in Costa Mesa, CA. The record was last updated on May 9, 2016.