CHARESE M FANNIN PA
NPI 1770517799
Physician Assistant - Medical in Lynwood, CA
About Charese M Fannin Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARESE M FANNIN PA (NPI 1770517799) is an individual medical provider in Lynwood, California, licensed in California (PA12007) and active in the NPI registry since July 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LYNWOOD, CA 90262
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charese Fannin's NPI number?
The NPI number for Charese Fannin is 1770517799. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Charese Fannin located?
Charese Fannin practices at 3630 East Imperial Highway, Lynwood, CA 90262. The listed phone number is (310) 900-8900.
What is Charese Fannin's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
When was this NPI record last updated?
The NPPES record for Charese Fannin was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Charese M Fannin, PA · NPI 1770517799
Medical physician in Lynwood, California. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1770517799 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA12007 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3630 EAST IMPERIAL HIGHWAY, Lynwood, CA 90262-2678
- **Phone:** (310) 900-8900
## Record status
- **NPPES last updated:** May 6, 2015
- **Other identifiers:** Medicare UPIN S39591 (CA); Medicaid PA12007 (CA); Medicare PIN WPA12007I (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1770517799) · Data from the CMS NPPES public registry.