Individual
CARLOS JOSE CARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UCSD MEDICAL CENTER, 200 WEST ARBOR DR, MC 8201, SAN DIEGO, CA 92103-8201
(858) 534-5407
(619) 543-3183
Mailing address
3855 HEALTH SCIENCES DR, MOORES UCSD CANCER CENTER 0698, LA JOLLA, CA 92093-0698
(858) 534-5407
(858) 822-5383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G33363
CA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
G33363
CA
207RH0003X
Hematology & Oncology Physician
G33363
CA
207RX0202X
Medical Oncology Physician
G33363
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G333630
—
CA
Enumeration date
09/06/2006
Last updated
07/09/2010
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