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Ryan Arvid Carlson

Emergency Medicine

Allopathic & Osteopathic Physicians

4445 Magnolia Ave, Riverside, CA 92501-4135

PECOS Enrollment

This provider is enrolled in PECOS as RYAN CARLSON.

Based on the most recent information from CMS, provider Ryan Arvid Carlson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1144857368
Provider Type
Individual
Full Name
Carlson, Ryan Arvid
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/26/2020
Last Updated
6/8/2023

Contact Information

Practice Location

4445 Magnolia Ave, Riverside, CA 92501-4135

(951) 788-3537

(951) 788-3173

Mailing Location

4445 Magnolia Ave, Riverside, CA 92501-4199

(951) 788-3537

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A177492 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Ryan Arvid Carlson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Nickson, Kenneth

Kupai, Romero David

Tobar, Maria Alejandra

Chan, Eugene T.

Agudelo, Adrian Zabdiel

Hadyah, Sana

Chang, Brennan

Bishop, Rebecca C.

Krivitskiy, Igor

Schoenberg, Benjamen Elliot