Organization
CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
Active
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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