Stephen R Carlson, MD | |
9888 Genesee Ave, La Jolla, CA 92037-1205 | |
(858) 626-6000 | |
Not Available |
Full Name | Stephen R Carlson |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 9888 Genesee Ave, La Jolla, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902824923 | NPI | - | NPPES |
00G496030 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G49603 (California) | Primary |
Entity Name | Laboratory Diagnostics Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093742074 PECOS PAC ID: 0042230286 Enrollment ID: O20051201000945 |
Mailing Address | Practice Location Address |
---|---|
Stephen R Carlson, MD 1801 W Olympic Blvd, #1016, Pasadena, CA 91199-0001 Ph: (800) 288-8325 | Stephen R Carlson, MD 9888 Genesee Ave, La Jolla, CA 92037-1205 Ph: (858) 626-6000 |
Ashley Lynette Cardenas, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 9444 Medical Center Dr, La Jolla, CA 92037 Phone: 619-414-8429 | |
Dr. Julie B. Steele, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-8605 | |
Miriam Bloch, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5580 La Jolla Blvd, Pmb 610, La Jolla, CA 92037 Phone: 858-729-0993 Fax: 858-729-0992 | |
Dr. Ann C Rearden, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 9300 Campus Point Drive, Mc 0612, La Jolla, CA 92037 Phone: 858-657-6595 Fax: 858-657-6045 | |
Dr. Frank W. Hall, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-8605 | |
Dr. Robert W. Sharpe, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-8605 | |
Dr. Keith Edward Thompson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd # 211c, La Jolla, CA 92037 Phone: 858-554-8605 |