Provider Demographics
NPI:1730394982
Name:CHARLES ARONBERG, M.D., INC.
Entity type:Organization
Organization Name:CHARLES ARONBERG, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:ARONBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:310-271-7000
Mailing Address - Street 1:416 N BEDFORD DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4322
Mailing Address - Country:US
Mailing Address - Phone:310-271-7000
Mailing Address - Fax:310-273-6583
Practice Address - Street 1:416 N BEDFORD DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4322
Practice Address - Country:US
Practice Address - Phone:310-271-7000
Practice Address - Fax:310-273-6583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA16897207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW20997Medicare PIN