Organization
DJAVAHERIAN MEDICAL PRACTICE PLLC
Active
Other names
Carbon Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEY PAGE (DIRECTOR)
(417) 861-9739
Entity
Organization
Contact information
Practice address
90 HAVEMEYER ST, BROOKLYN, NY 11211-3340
(415) 200-2133
Mailing address
55 PACIFIC AVE # 101, SAN FRANCISCO, CA 94111-2009
(415) 200-2133
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
06/24/2025
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