Organization
BRENDT D. CARLSON, MD INC DBA MAR MONTE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALMA CASTILLO (CLINIC MANAGER)
(831) 761-7225
Entity
Organization
Contact information
Practice address
846 FREEDOM BLVD, WATSONVILLE, CA 95076-3814
(831) 761-7225
(831) 761-1178
Mailing address
846 FREEDOM BLVD, WATSONVILLE, CA 95076-3814
(831) 761-7225
(831) 761-1178
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
A41986
CA
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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