Cousins, Larry Michael

Cousins, Larry Michael is an individual health care provider with primary practice located at 8010 Frost St Suite 300, San Diego CA 92123-2778. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Cousins, Larry Michael can be contacted via phone (858) 939-6880.

Contact Information

Primary practice address
8010 Frost St Suite 300 San Diego CA 92123-2778
Phone: (858) 939-6880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G26396 California
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X G26396 California

Profile Details

NPI number 1265503023
LBN Legal business name Cousins, Larry Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Dec 8th, 2011 - about 13 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 1265503023 NPPES
California MEDICAID 00G263960

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