Organization
CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEY PAGE (DIRECTOR)
(417) 861-9739
Entity
Organization
Contact information
Practice address
2110 W SUNSET BLVD STE M, LOS ANGELES, CA 90026-3125
(510) 686-3621
(888) 972-1912
Mailing address
55 PACIFIC AVE, SAN FRANCISCO, CA 94111-2009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
10/11/2019
Last updated
06/25/2025
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