# JORGE CARREON, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720366644
- **Authorized official:** JORGE F. CARREON M.D. (M.D./ OWNER)
- **Authorized official phone:** (323) 567-9661

## Contact information

- **Practice address:** 4500 TWEEDY BLVD, SOUTH GATE, CA 90280-6334
- **Practice address phone:** (323) 567-9661
- **Practice address fax:** (323) 567-9663
- **Mailing address:** PO BOX 27206, LOS ANGELES, CA 90027-0206
- **Mailing address phone:** (213) 385-0675
- **Mailing address fax:** (213) 365-6429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A32576 | CA | Yes |

## Other

- **Enumeration date:** 07/26/2011
- **Last updated:** 07/26/2011