| Family Practice Associates Of Carson Medical Group Inc | |
|
824 E Carson St Suite 201 Carson CA 90745-2262 | |
| (310) 233-3228 | |
| (310) 233-3229 |
| Full Name | Family Practice Associates Of Carson Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 824 E Carson St, Carson, California |
| Authorized Official Name and Position | Reza Ghanian (PRESIDENT) |
| Authorized Official Contact | 3102333228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates Of Carson Medical Group Inc 824 E Carson St Carson CA 90745-2262 Ph: (310) 233-3228 | Family Practice Associates Of Carson Medical Group Inc 824 E Carson St Suite 201 Carson CA 90745-2262 Ph: (310) 233-3228 |
| NPI Number | 1316996903 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 04/24/2014 |
| Medicare PECOS PAC ID | 7810900750 |
|---|---|
| Medicare Enrollment ID | O20060719000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316996903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G74550 (California) | Primary |
| Provider Name | Reza Ghanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639151350 PECOS PAC ID: 7911921135 Enrollment ID: I20060719000353 |
| Provider Name | Marie S Basa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356739767 PECOS PAC ID: 3375864572 Enrollment ID: I20150529002336 |
| Provider Name | Unakem A Kazeem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043612120 PECOS PAC ID: 3476773599 Enrollment ID: I20161129002641 |
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Summit Healthcare Ipa Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23049 Archibald Ave, Carson, CA 90745 Phone: 310-850-5630 Fax: 888-444-9401 | |
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Jed Padre Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 282 E Sepulveda Blvd, Carson, CA 90745 Phone: 310-518-6861 Fax: 310-835-1366 | |
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