Provider Demographics
NPI:1891735486
Name:AVERY, CHARLES HOCHETTE (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:HOCHETTE
Last Name:AVERY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2772 JOHNSON DR STE 200
Mailing Address - Street 2:ATTN CINDY GARNER
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7262
Mailing Address - Country:US
Mailing Address - Phone:805-641-1430
Mailing Address - Fax:805-642-1436
Practice Address - Street 1:1751 LOMBARD ST # A
Practice Address - Street 2:ATTN CINDY GARNER
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-8266
Practice Address - Country:US
Practice Address - Phone:805-981-9111
Practice Address - Fax:805-981-8333
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2014-01-16
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Provider Licenses
StateLicense IDTaxonomies
CAA26091207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW13268OtherPRIMARY MEDICAL MEDICARE
CAW13268AOtherPRIMARY MEDICAL MEDICARE
CAW13268AOtherPRIMARY MEDICAL MEDICARE