Individual
BRIAN D. CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 SANTA FE DR, SUITE 204, ENCINITAS, CA 92024-5138
(760) 944-7300
(760) 633-3949
Mailing address
PO BOX 230757, ENCINITAS, CA 92023-0757
(760) 944-7300
(760) 633-3949
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD21044
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C522200
—
CA
05
—
025550900
—
DC
05
—
5822351
—
VA
05
—
856421300
—
MD
Enumeration date
06/03/2006
Last updated
12/08/2021
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