Charles Fagenholz
Independent Medical Examiner
3151 Airway Ave U-3
Costa Mesa
, California 92626-4607
Charles Fagenholz
Independent Medical Examiner
3151 Airway Ave U-3
Costa Mesa
, California 92626-4607
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About
Features
Specialties
- Independent Medical Examiner
Languages spoken
- English
Location
First Address
- Charles Fagenholz
- 21264 Beach Blvd #203
- Huntington Beach, CA
- Zip : 92648-5482
- Phone :
Second Address
- Charles Fagenholz
- 3151 Airway Ave U-3
- Costa Mesa, CA
- Zip : 92626-4607
- Phone : (714) 754-8008
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NI0013X | Independent Medical Examiner | 33312 | CA |
National Provider Identifier
| NPI | 1841646809 |
|---|---|
| Provider Name | Charles Fagenholz |
| First Address | Huntington Beach, CA 92648-5482 |
| Second Address | Costa Mesa, CA 92626-4607 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2016 |
| Last Update Date | 09/05/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.