Individual provider · NPI-1

Charles Casassa, M.D.

Psychiatry & Neurology, Neurology · Loma Linda, CA

NPI number1316328677
StatusActive
Last updated in NPPESJul 30, 2020

Details

NPI
1316328677
Entity type
Individual (NPI-1)
Name
Charles Casassa
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 12, 2015
Certification date
Jul 30, 2020
Last updated
Jul 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology167586CAYes

Practice location

11370 Anderson St Ste B-100
Loma Linda, CA 92354-3450

Phone 909-558-2828

Mailing address

11370 Anderson St Ste B-100
Loma Linda, CA 92354-3450

Phone 909-558-2880

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