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Contact Information

CHARLES A JANSEN, OD, INC
4000 TYLER ST.
RIVERSIDE, CA92503
 Phone: 951-687-7100
 Fax: 951-687-1663
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHARLES A JANSEN OD INC · (Female)

NPI # 1336342237
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2007
Last updated 09/09/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 8158T
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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