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Organization
DJAVAHERIAN MEDICAL PRACTICE PLLC
Active
Organization
DJAVAHERIAN MEDICAL PRACTICE PLLC
Active
Other names
Carbon Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEY PAGE (DIRECTOR)
(417) 861-9739
Entity
Organization
Contact information
Practice address
90 HAVEMEYER ST, BROOKLYN, NY 11211-3340
(415) 200-2133
Mailing address
55 PACIFIC AVE # 101, SAN FRANCISCO, CA 94111-2009
(415) 200-2133
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/21/2020
Last updated
06/24/2025
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