# CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC

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

## Provider details

- **NPI number:** 1215574462
- **Legal business name:** CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
- **Authorized official:** MARLEY PAGE (DIRECTOR)
- **Authorized official phone:** (417) 861-9739

## Contact information

- **Practice address:** 1320 TRAVIS BLVD STE C, FAIRFIELD, CA 94533-4654
- **Practice address phone:** (707) 624-7400
- **Mailing address:** 2920 TELEGRAPH AVE, BERKELEY, CA 94705-2031
- **Mailing address phone:** (510) 686-3621
- **Mailing address fax:** (888) 972-1912

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2019
- **Last updated:** 06/25/2025