SearchCalifornia207LP2900X

Charles Fullenwider, M.D

NPI 1417299298 · on the registry since 2013

Practice

Address
34800 Bob Wilson Dr
San Diego, CA 92134
Phone
(619) 532-8937
Organisation at this address
Usn
Nmcsd
Nmcsd
Nmcsd
Us Navy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,476

Additional practice sites

  • 8901 Rockville Pike, Bethesda, MD
  • 7050 Air Depot Blvd, Tinker Afb, OK

Registry record

Primary taxonomy
207LP2900X
207LP2900X
Also registered as
207L00000X
390200000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California