Organization
DOUGLAS F. CARRASCO M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS F. CARRASCO M.D. (PRESIDENT)
(951) 566-6766
Entity
Organization
Contact information
Practice address
44274 GEORGE CUSHMAN CT, SUITE 210, TEMECULA, CA 92592-5945
(951) 302-4603
(951) 302-4605
Mailing address
44274 GEORGE CUSHMAN CT, SUITE 210, TEMECULA, CA 92592-5945
(951) 302-4603
(951) 302-4605
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G82091
CA
Other
Enumeration date
08/11/2007
Last updated
08/11/2007
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