Isterabadi, Larissa

Isterabadi, Larissa is an sole proprietor health care provider with primary practice located at 31862 Coast Hwy Suite 106, Laguna Beach CA 92651-6769. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Isterabadi, Larissa can be contacted via phone (949) 499-5111.

Contact Information

Primary practice address
31862 Coast Hwy Suite 106 Laguna Beach CA 92651-6769
Phone: (949) 499-5111
Fax: (949) 499-8143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A84267 California

Profile Details

NPI number 1821125543
LBN Legal business name Isterabadi, Larissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Nov 3rd, 2021 - about 4 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 1821125543 NPPES
California MEDICAID 00A563950

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