Carl J Carlson Md
LBN: Carl J Carlson Md
Carl J Carlson Md is an health care organization with primary practice located at 1895 Mowry Ave Suite #100, Fremont CA 94538-1737. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty.
Carl J Carlson Md can be contacted via phone (510) 792-2012, or through Carlson, Catherine via phone (510) 792-2012.
Contact Information
Primary practice address
1895 Mowry Ave Suite #100
Fremont CA 94538-1737
Phone: (510) 792-2012
Fax: (510) 792-7986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G29295 | California |
Profile Details
| NPI number | 1508075540 |
|---|---|
| LBN Legal business name | Carl J Carlson Md |
| DBA Doing business as | |
| Authorized official | Carlson, Catherine Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jun 22nd, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508075540 | NPPES |
| California | Other | ZZZ26021Z | BLUECROSS AND BLUESHIELD |
| California | MEDICAID | 00G292950 | BLUECROSS AND BLUESHIELD |
| California | Other | 000169 | BLUECROSS AND BLUESHIELD |
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