Dr. Charles Martin Strom, MD
Pediatrics in San Juan Capistrano, CA. Individual provider (NPI-1).
NPI number1972697233
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1972697233
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Martin Strom
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 643341 | CA | Yes |
Practice location
33608 Ortega HwySan Juan Capistrano, CA 92690
Phone 949-728-4701 · Fax 949-728-4732
Mailing address
2939 Calle GauchoSan Clemente, CA 92673-3053
Phone 949-361-8745
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