Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BETHANY JEAN CARLSON
Active Sole ProprietorMRS. BETHANY JEAN CARLSON is a Physical Disabilities Residential Treatment Facility healthcare provider located in ROSEMEAD, California. NPI 1942887898 is currently active in the NPPES registry. Verify at CMS.
Physical Disabilities Residential Treatment Facility · ROSEMEAD, CA
Registration Details
- NPI Number
- 1942887898
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2021 (5.2035888735731 yrs)
- Last Updated
- Mar 26, 2021
- License
-
236417 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 SAN GABRIEL BLVD STE 200ROSEMEAD, CA, 917704394Browse CA providers · Browse ZIP 91770
- Phone
- 2324982231
- Fax
- 3234861440
- Primary Specialty
-
Physical Disabilities Residential Treatment Facility
320700000X
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.