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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CRAIG JOHN CARBONNIERE SR., P.A.

Active Sole Proprietor

MR. CRAIG JOHN CARBONNIERE SR., P.A. is a Physician Assistant healthcare provider located in LAKEWOOD, California. NPI 1063578110 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAKEWOOD, CA

Registration Details

NPI Number
1063578110
Provider Type
Individual
Gender
Male
NPI Issued
Dec 30, 2006 (19.623670347255 yrs)
Last Updated
Jul 15, 2015
License
PA10492 (CA)
Sole Proprietor
Yes

Practice Information

Address
5203 LAKEWOOD BLVD
LAKEWOOD, CA, 907122438
Browse CA providers · Browse ZIP 90712
Phone
5626332273
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LAKEWOOD, CA

Name Credential NPI
ERIK PATRICK SORENSON PA-C 1720109614
PEDRO OLMEDOCOLOR PA-C 1447454814
KATHLEEN LIN YUAN PA-C 1295096170
MICHAEL OCAMPO PA-C 1265782528
MR. BRYAN FELIPE SANDOVAL PA-C 1902450620
PAULINE IMELDA SALGUERO 1598392466
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.