Individual ProviderCharles E. YatesPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address4760 W Sunset Blvd, Los Angeles, CA 90027-6063(323) 783-4011(626) 405-3640PECOS EnrollmentBased on the most recent information from CMS, provider Charles E. Yates does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1801955422Provider TypeIndividualFull NameYates, Charles E.CredentialMDGenderMaleSole ProprietorNoEnumeration Date12/8/2006Last Updated7/20/2022Contact InformationPractice LocationPractice Address4760 W Sunset Blvd, Los Angeles, CA 90027-6063Phone(323) 783-4011FaxUnlisted FaxMailing LocationMailing Address393 E Walnut St, 3rd Floor Phr Systems, Pasadena, CA 91188-0001Phone(626) 405-3640Fax(626) 405-6768Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseG30679CaliforniaProvider IdentifiersIDDescriptionIssuerID00G306790DescriptionMedicaidIssuerUnlistedCalifornia