Emdur, Larry I

Emdur, Larry I is an individual health care provider with primary practice located at 6719 Alvarado Rd #108, San Diego CA 92120-5270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Emdur, Larry I can be contacted via phone (619) 286-8803.

Contact Information

Primary practice address
6719 Alvarado Rd #108 San Diego CA 92120-5270
Phone: (619) 286-8803
Fax: (619) 286-2344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 20A4940 California

Profile Details

NPI number 1932109642
LBN Legal business name Emdur, Larry I
Credentials DO, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jun 6th, 2022 - about 3 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 1932109642 NPPES
California Other ZZZ39696Z BLUE CROSS
California Other 00AX4940 BLUE CROSS
California Other 20A4940 BLUE CROSS

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