Individual
DR. DEBORAH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2809
(805) 652-5011
Mailing address
994 SHARON LN, VENTURA, CA 93001-3847
(805) 648-6756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G73628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WG73628H
MEDICARE
CA
Enumeration date
07/05/2006
Last updated
07/13/2009
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