| Carlsbad Family Medicine | |
|
2808 Roosevelt St Ste 100 Carlsbad CA 92008-1688 | |
| (760) 688-0411 | |
| (760) 645-6385 |
| Full Name | Carlsbad Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 2808 Roosevelt St Ste 100, Carlsbad, California |
| Authorized Official Name and Position | Jeffrey Keith Pearson (PRESIDENT) |
| Authorized Official Contact | 7606880411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlsbad Family Medicine 2808 Roosevelt St Ste 100 Carlsbad CA 92008-1688 Ph: (760) 688-0411 | Carlsbad Family Medicine 2808 Roosevelt St Ste 100 Carlsbad CA 92008-1688 Ph: (760) 688-0411 |
| NPI Number | 1780154864 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 11/30/2018 |
| Medicare PECOS PAC ID | 0547503674 |
|---|---|
| Medicare Enrollment ID | O20190513002394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780154864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jeffrey K Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255449138 PECOS PAC ID: 3375454978 Enrollment ID: I20060927000584 |
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