Individual provider · Type 1 NPI

Craig John Carbonniere Sr., P.A.

Physician Assistant · Lakewood, CA

NPI number 1063578110 Active

Practice location

5203 Lakewood Blvd
Lakewood, CA 90712-2438

Call (562) 633-2273 Map

Mailing address

7692 Ellis Ave
Huntington Beach, CA 92648-1635

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA10492 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063578110

Craig John Carbonniere Sr., P.A.'s National Provider Identifier is 1063578110, issued on Dec 30, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lakewood, CA. The record was last updated on Jul 15, 2015.