Carson, Stanley
Carson, Stanley is an individual health care provider with primary practice located at 4300 Long Beach Blvd Ste 300, Long Beach CA 90807-2011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Carson, Stanley can be contacted via phone (562) 984-7024.Contact Information
Primary practice address
4300 Long Beach Blvd Ste 300
Long Beach CA 90807-2011
Phone: (562) 984-7024
Fax: (562) 428-7394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G13554 | California |
Profile Details
| NPI number | 1750383659 |
|---|---|
| LBN Legal business name | Carson, Stanley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jun 29th, 2010 - about 15 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 | 1750383659 | NPPES |
| California | MEDICAID | 00G135540 |
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