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Individual

JORGE FRANCISCO CARREON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 TWEEDY BLVD, SOUTH GATE, CA 90280
(323) 567-9661
(323) 567-9663
Mailing address
4500 TWEEDY BLVD, SOUTH GATE, CA 90280
(323) 567-9661
(323) 567-9663

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A325760
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A32576
BLUE CROSS
CA
05
OOA325760
CA
Enumeration date
11/03/2006
Last updated
07/08/2007
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