| Carlsbad Village Family Practice Medical Associates, Inc | |
|
2801 Jefferson St Carlsbad CA 92008-1720 | |
| (760) 729-4952 | |
| (760) 729-1518 |
| Full Name | Carlsbad Village Family Practice Medical Associates, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2801 Jefferson St, Carlsbad, California |
| Authorized Official Name and Position | Michelle Lee Jones (OFFICE MANAGER) |
| Authorized Official Contact | 7607294952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlsbad Village Family Practice Medical Associates, Inc 2801 Jefferson St Carlsbad CA 92008-1720 Ph: (760) 729-4952 | Carlsbad Village Family Practice Medical Associates, Inc 2801 Jefferson St Carlsbad CA 92008-1720 Ph: (760) 729-4952 |
| NPI Number | 1376957142 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 06/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376957142 | NPI | - | NPPES |
| GR0098810 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6683 (California) | Primary |
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