Charles Sanford Egesdal, M.D.
Pediatrics in Santa Ana, CA. Individual provider (NPI-1).
NPI number1861925471
StatusActive
Last updated in NPPESSep 20, 2021
Details
- NPI
- 1861925471
- Entity type
- Individual (NPI-1)
- Name
- Charles Sanford Egesdal
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2017
- Certification date
- Sep 20, 2021
- Last updated
- Sep 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | A157470 | CA | Yes |
Practice location
3501 S Harbor BlvdSanta Ana, CA 92704-6919
Phone 714-929-2300
Mailing address
3501 S Harbor BlvdSanta Ana, CA 92704-6919
Phone 714-929-2300
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