Provider Demographics
NPI:1881631414
Name:JONES, CHARLES F (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:F
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27574 COMMERCE CENTER DR
Mailing Address - Street 2:SUITE 236
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-2500
Mailing Address - Country:US
Mailing Address - Phone:951-695-9648
Mailing Address - Fax:951-695-3949
Practice Address - Street 1:27574 COMMERCE CENTER DR
Practice Address - Street 2:SUITE 236
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-2500
Practice Address - Country:US
Practice Address - Phone:951-695-9648
Practice Address - Fax:951-695-3949
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46217174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF97024Medicare UPIN
CAA46217Medicare ID - Type Unspecified