Kussin, Larry

Kussin, Larry is an individual health care provider with primary practice located at 15243 Vanowen St , Van Nuys CA 91405-3632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kussin, Larry can be contacted via phone (818) 782-6110.

Contact Information

Primary practice address
15243 Vanowen St Van Nuys CA 91405-3632
Phone: (818) 782-6110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A20370 California

Profile Details

NPI number 1235189994
LBN Legal business name Kussin, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 21st, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235189994 NPPES
California MEDICAID 00A203700

Popular Providers