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CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
NPI 1710529656
Clinic/Center - Multi-Specialty in Los Angeles, CA

Active since October 11, 2019
2110 W SUNSET BLVD STE M, LOS ANGELES, CA 90026(510) 686-3621(888) 972-1912 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Jul 16, 2024, Jan 27, 2023 and 3 more (6 updates tracked since 2019).

About Carbon Health Medical Group Of California Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC (NPI 1710529656) is a healthcare organization registered as a multi-specialty in Los Angeles, California and active in the NPI registry since October 2019. The organization lists Marley Page, Director, as its authorized official.

NPPES Registry Identity

NPI1710529656
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
Location Address2110 W SUNSET BLVD STE MLos Angeles, CA 90026-3125
Mailing Address55 Pacific AveSan Francisco, CA 94111-2009
Phone(510) 686-3621
Fax(888) 972-1912
Organization SubpartNo
Authorized OfficialMarley PageDirector · (417) 861-9739
Enumeration DateOctober 11, 2019
Last NPPES UpdateJune 25, 20256 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1710529656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
2110 W SUNSET BLVD STE M, Los Angeles, CA 90026
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0699865

Carbon Health Medical Group Of California PC · Los Angeles, CA
Expired · Jul 31, 2026
CLIA Number05D0699865
Laboratory TypeIndependent
Certificate Effective DateMay 26, 2022
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Rubio R. Punzalan
Laboratory Phone(310) 963-2815
Laboratory LocationCarbon Health Medical Group Of California PC5830 Obama Blvd Ste 110, Los Angeles, CA 90016
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONAH AGRA
Physician Assistant
2110 W SUNSET BLVD STE M
LOS ANGELES, CA 90026
Los Angeles County (833) 873-2852
MR. CLARENCE MATTHEW CHAN PA-C
Physician Assistant
2110 W SUNSET BLVD STE M
LOS ANGELES, CA 90026
Los Angeles County (833) 873-2852
PAULA DRIVAS RPAC
Physician Assistant
2110 W SUNSET BLVD STE M
LOS ANGELES, CA 90026
Los Angeles County (213) 510-8640
TREAT MEDICAL INC
Clinic/Center (Urgent Care)
2110 W SUNSET BLVD STE M
LOS ANGELES, CA 90026
Los Angeles County (833) 873-2852

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carbon Health Medical Group Of California PC's NPI number?

The NPI number for Carbon Health Medical Group Of California PC is 1710529656. It was assigned to this organization in the NPPES registry on October 11, 2019.

Where is Carbon Health Medical Group Of California PC located?

Carbon Health Medical Group Of California PC is located at 2110 W Sunset Blvd Ste M, Los Angeles, CA 90026. The listed phone number is (510) 686-3621.

What is Carbon Health Medical Group Of California PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Carbon Health Medical Group Of California PC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.