IndividualActive
Charles Sangmoah
NPI 1093009359 · Physician Assistant · Huntington Park, CA
Provider details
- NPI number
- 1093009359
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 21348 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2635 Walnut St
Huntington Park, CA 90255
Phone: (323) 586-0740
Street-level locationGet directions
Mailing address
2635 Walnut St
Huntington Park, CA 90255
Registry dates
- Enumerated
- 2011-06-04
- Last updated
- 2016-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.