Carlson, Gregory D.
Carlson, Gregory D. is an individual health care provider with primary practice located at 1120 W. La Veta Avenue Suite 300, Orange CA 92868-4246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Carlson, Gregory D. can be contacted via phone (714) 598-1745.Contact Information
Primary practice address
1120 W. La Veta Avenue Suite 300
Orange CA 92868-4246
Phone: (714) 598-1745
Fax: (714) 941-9539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G65319 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | G65319 | California |
Profile Details
| NPI number | 1215924329 |
|---|---|
| LBN Legal business name | Carlson, Gregory D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Mar 22nd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215924329 | NPPES |
| California | Other | CB234935 | INDIVIDUAL PTAN |
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