Dr. Gregory D. Carlson
Orthopaedic Surgeon Orthopaedic Spine Surgeon
1120 W. La Veta Avenue Suite 300
Orange
, California 92868-4246
Dr. Gregory D. Carlson
Orthopaedic Surgeon Orthopaedic Spine Surgeon
1120 W. La Veta Avenue Suite 300
Orange
, California 92868-4246
(657) 210-4233
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About
Features
Specialties
- Orthopaedic Surgeon
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gregory D. Carlson
- 1120 W. La Veta Avenue Suite 300
- Orange, CA
- Zip : 92868-4246
- Fax : (657) 210-4233
- Phone : (657) 210-4096
Second Address
- Dr. Gregory D. Carlson
- 1120 W. La Veta Avenue Suite 300
- Orange, CA
- Zip : 92868-4246
- Fax : (714) 941-9539
- Phone : (714) 598-1745
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | G65319 | CA |
| Y | 207XS0117X | Orthopaedic Spine Surgeon | G65319 | CA |
National Provider Identifier
| NPI | 1215924329 |
|---|---|
| Provider Name | Dr. Gregory D. Carlson |
| First Address | Orange, CA 92868-4246 |
| Second Address | Orange, CA 92868-4246 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2005 |
| Last Update Date | 21/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CB234935 | INDIVIDUAL PTAN (01) | CA |
| F85891 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.