Dr. Charles Bernard Stuller
Oral and Maxillofacial Pathology
Va Loma Linda Healthcare System 160 11201 Benton St
Loma Linda
, California 92357-0001
Dr. Charles Bernard Stuller
Oral and Maxillofacial Pathology
Va Loma Linda Healthcare System 160 11201 Benton St
Loma Linda
, California 92357-0001
(760) 731-9432
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Charles Bernard Stuller
- 4133 Los Padres Dr
- Fallbrook, CA
- Zip : 92028-9143
- Phone : (760) 731-9432
Second Address
- Dr. Charles Bernard Stuller
- Va Loma Linda Healthcare System 160 11201 Benton St
- Loma Linda, CA
- Zip : 92357-0001
- Fax : (909) 777-3293
- Phone : (909) 583-6127
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 51765 | CA |
National Provider Identifier
| NPI | 1346263092 |
|---|---|
| Provider Name | Dr. Charles Bernard Stuller |
| First Address | Fallbrook, CA 92028-9143 |
| Second Address | Loma Linda, CA 92357-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 08/07/2007 |
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.