Search › California › 1710I1002X
Justin Carpenter, IDC
NPI 1336079003 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1405 Leyte Rd Apt D
Coronado, CA 92118 - Phone
- (513) 800-6866
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2026-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California