MEDICARE: GARY ROY CARLSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	G39594	CA

General Provider Information

NPI Number	:	1144280181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY ROY CARLSON MD

Provider Business Mailing Address
First Line	:	1240 S WESTLAKE BLVD
Second Line	:	SUITE 205
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-1929
Country	:	US
Telephone Number	:	805-495-0551
Fax Number	:	805-496-8079

Provider Business Practice Location Address
First Line	:	1240 S WESTLAKE BLVD
Second Line	:	SUITE 205
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-1929
Country	:	US
Telephone Number	:	805-495-0551
Fax Number	:	805-496-8079

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1437151909 — GARY D SANDS D.D.S.
Practice Location Address:

1240 WESTLAKE BLVD , SUITE 201
WESTLAKE VILLAGE, CA
91361-1929

Practice Phone: 805-495-7212
Practice Fax:

1265401251 — DERMATOLOGY ASSOCIATES OF WESTLAKE
Practice Location Address:

1240 S WESTLAKE BLVD , SUITE 205
WESTLAKE VILLAGE, CA
91361-1929

Practice Phone: 805-495-0551
Practice Fax: 805-496-8079

1255390183 — HANZELIK AND HORTON, MDS, INC.
Practice Location Address:

1240 WESTLAKE BLVD , SUITE 231
WESTLAKE VILLAGE, CA
91361-1929

Practice Phone: 805-446-4444
Practice Fax: 805-497-4650

1770542722 — ANIL DAYA M.D.
Practice Location Address:

1240 WESTLAKE BLVD , SUITE 231
WESTLAKE VILLAGE, CA
91361-1929

Practice Phone: 805-446-4444
Practice Fax: 805-371-9239

1750340345 — RANDOLPH STEVEN CAPRI MD
Practice Location Address:

1240 S WESTLAKE BLVD , SUITE 205
WESTLAKE VILLAGE, CA
91361-1929

Practice Phone: 805-495-0551
Practice Fax: 805-496-8079

1053371096 — MICHAEL ROBERT BASTIEN MD
Practice Location Address:

1240 S WESTLAKE BLVD , SUITE 205
WESTLAKE VILLAGE, CA
91361-1929

Practice Phone: 805-495-0551
Practice Fax: 805-496-8079

Directions to “ GARY ROY CARLSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.