Larsen, Donald W.
Larsen, Donald W. is an individual health care provider with primary practice located at 1520 San Pablo St Ste 3800, Los Angeles CA 90033-5310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Larsen, Donald W. can be contacted via phone (323) 442-5720.Contact Information
Primary practice address
1520 San Pablo St Ste 3800
Los Angeles CA 90033-5310
Phone: (323) 442-5720
Fax: (323) 442-7543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | G58082 | California |
Profile Details
| NPI number | 1558305532 |
|---|---|
| LBN Legal business name | Larsen, Donald W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jan 10th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558305532 | NPPES |
| Other | BR640Z | PTAN | |
| MEDICAID | 00G580820 | PTAN |
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