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James M Carlson

  • Male

Medical Specialty

Professional ID

  • NPI: 1396700381
  • PECOS ID: 2264577154
  • Enrollment ID: I20101209001026
  • Credential(MD, DO, DPM):
  • Medical School: Creighton University School Of Medicine
  • Medical School Graduation Year: 1973

Hospital Service

  • Hospital CCN1: 050464
  • Business Name (LBN)1: Doctors Medical Center
  • Hospital CCN2: 050557
  • Business Name (LBN)2: Memorial Medical Center

Medical Practices

  • Organization Name: Carlson, Hansen, Kwon-hong, Mds
  • Group Practice ID assigned by PECOS: 5092850982
  • Number of Group Practice member: 3

Location

  • Address1: 1213 Coffee Rd A
  • Address2:
  • City: Modesto
  • State: California
  • Zip Code: 95355
  • Phone Number: (209)549-9900

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR): Yes