Cardoza, Larry J.

Cardoza, Larry J. is an individual health care provider with primary practice located at 6555 Coyle Ave Ste 190 , Carmichael CA 95608-0303. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Cardoza, Larry J. can be contacted via phone (916) 536-2582.

Contact Information

Primary practice address
6555 Coyle Ave Ste 190 Carmichael CA 95608-0303
Fax: (916) 536-2583
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A22534 California
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X A22534 California

Profile Details

NPI number 1790721322
LBN Legal business name Cardoza, Larry J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Feb 6th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790721322 NPPES
California MEDICAID 00A225340

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