Gersten, Larry Marc

Gersten, Larry Marc is an individual health care provider with primary practice located at 24331 El Toro Rd Ste 200 , Laguna Woods CA 92637-3116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Gersten, Larry Marc can be contacted via phone (949) 586-3200.

Contact Information

Primary practice address
24331 El Toro Rd Ste 200 Laguna Woods CA 92637-3116
Phone: (949) 586-3200
Fax: (949) 900-2116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X G50397 California

Profile Details

NPI number 1417950064
LBN Legal business name Gersten, Larry Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jun 19th, 2020 - about 5 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 1417950064 NPPES
California Other RR2000 19525 MEDICARE RAILROAD
California MEDICAID 00G503970 MEDICARE RAILROAD
California Other 00G503970G89 MEDICARE RAILROAD

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