Individual
BETTE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1190 W. BAKER STREET STE 103, COSTA MESA, CA 92626-4108
(714) 668-2525
(714) 668-2530
Mailing address
PO BOX 1875, SUISUN CITY, CA 94585-4875
(657) 241-3600
(657) 241-7708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G79963
CA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
G79963
CA
Other
Enumeration date
06/02/2006
Last updated
03/25/2026
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