Organization · NPI-2

Charter Professional Group INC

Clinic/Center · Roseville, CA

NPI number1235666108
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1235666108
Entity type
Organization (NPI-2)
Legal business name
Charter Professional Group INC
Organization subpart
No
Enumeration date
May 22, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterA51362CAYes

Practice location

775 Sunrise Ave Ste 140
Roseville, CA 95661-4527

Phone 916-784-1244 · Fax 916-784-3949

Mailing address

775 Sunrise Ave Ste 140
Roseville, CA 95661-4527

Phone 916-784-1244 · Fax 916-784-3949

Authorized official

Pavitar Singh Cheema
Owner
9167841244

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