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Organization
CARLSBAD VILLAGE FAMILY PRACTICE MEDICAL ASSOCIATES, INC
Active
Organization
CARLSBAD VILLAGE FAMILY PRACTICE MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE JONES (OFFICE MANAGER)
(760) 729-4952
Entity
Organization
Contact information
Practice address
2801 JEFFERSON ST, CARLSBAD, CA 92008-1720
(760) 729-4952
(760) 729-1518
Mailing address
2801 JEFFERSON ST, CARLSBAD, CA 92008-1720
(760) 729-4952
(760) 729-1518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098810
—
CA
Enumeration date
11/22/2013
Last updated
11/22/2013
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