1528583960 NPI number — MR. CHARLES WHIPPO ROYSTON III MS

Table of content: MR. CHARLES WHIPPO ROYSTON III MS (NPI 1528583960)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528583960 NPI number — MR. CHARLES WHIPPO ROYSTON III MS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROYSTON
Provider First Name:
CHARLES
Provider Middle Name:
WHIPPO
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
III
Provider Credential Text:
MS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528583960
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/07/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16691 BARTLETT LN APT 3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTINGTON BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92647-8550
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
657-464-3128
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4199 CAMPUS DR STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IRVINE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92612-2749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-502-4721
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/07/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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