Individual
DR. STEVEN K CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
765 MEDICAL CENTER CT STE 211, CHULA VISTA, CA 91911-6600
(310) 319-4698
(310) 319-4908
Mailing address
765 MEDICAL CENTER CT STE 211, CHULA VISTA, CA 91911-6600
(619) 616-2100
(619) 616-2706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A109957
CA
207RC0000X
Cardiovascular Disease Physician
A109957
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A109957
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467602946
—
CA
Enumeration date
09/22/2008
Last updated
08/21/2023
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