Larreta, Boris Ramiro

Larreta, Boris Ramiro is an individual health care provider with primary practice located at 201 S Buena Vista St Suite 100, Burbank CA 91505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Larreta, Boris Ramiro can be contacted via phone (818) 848-6404.

Contact Information

Primary practice address
201 S Buena Vista St Suite 100 Burbank CA 91505
Phone: (818) 848-6404
Fax: (818) 848-7112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G49084 California

Profile Details

NPI number 1891888327
LBN Legal business name Larreta, Boris Ramiro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 1st, 2015 - about 9 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 1891888327 NPPES
California MEDICAID OOG49840

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