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:
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Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750383659 NPPES
California MEDICAID 00G135540

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