Foreman, Larry Warren

Foreman, Larry Warren is an individual health care provider with primary practice located at 1911 Johnson Avenue , San Luis Obispo CA 93401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Foreman, Larry Warren can be contacted via phone (805) 543-5353.

Contact Information

Primary practice address
1911 Johnson Avenue San Luis Obispo CA 93401
Phone: (805) 543-5353
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20A5055 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207PH0002X 20A5055 California

Profile Details

NPI number 1669416319
LBN Legal business name Foreman, Larry Warren
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 24th, 2016 - about 8 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 1669416319 NPPES
California MEDICAID 00AX50550

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