Individual
MR. FREDRICK A CARLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-8500
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-1309
(323) 442-8500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP20259
CA
Other
Enumeration date
06/09/2011
Last updated
11/27/2023
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