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Charisse Vinzelle Imatong
NPI 1598420143 · on the registry since 2021
Practice
- Address
- 1209 Hemlock Way
Santa Ana, CA 92707 - Phone
- (714) 546-1966
- Organisation at this address
- Plaza Healthcare Center, Llc
Santa Ana Healthcare & Wellness Centre, Lp
Country Villa Plaza, A Ca Ltd. PartnershipInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-08
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