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Charles Wellington Chidsey III

Debarred entity
TypePerson[sources]
NameCharles Wellington Chidsey III[sources]
Aliasaka Chidsey, Charles Wellington aka Chidsey, C. W. aka Chidsey, Charles W. III[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameCharles[sources]
Last nameChidsey III[sources]
Middle nameWellington[sources]
Registration number00G465240 · 00G465241 · 1255512075 · 1831147735 · G 46524[sources]
SectorPhysician[sources]
Address12506 Indianapolis St., Los Angeles, CA 90066[sources]
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Data sources

US California Medicaid Suspended and ineligible providers23,304

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS


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