# CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124701800
- **Legal business name:** CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC
- **Authorized official:** KAITLIN BOYLE (DIRECTOR)
- **Authorized official phone:** (303) 601-5392

## Contact information

- **Practice address:** 109 S LAS POSAS RD STE 101, SAN MARCOS, CA 92078-2419
- **Practice address phone:** (760) 258-4826
- **Mailing address:** 2100 FRANKLIN ST STE 355, OAKLAND, CA 94612-3140
- **Mailing address phone:** (415) 446-1733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2023
- **Last updated:** 07/09/2024