Larsen, Douglas Floyd
Larsen, Douglas Floyd is an sole proprietor health care provider with primary practice located at 41238 Margarita Rd Suite 105, Temecula CA 92591-5552. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Larsen, Douglas Floyd can be contacted via phone (951) 699-1111.Contact Information
Primary practice address
41238 Margarita Rd Suite 105
Temecula CA 92591-5552
Phone: (951) 699-1111
Fax: (951) 699-0101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8403T | California |
Profile Details
| NPI number | 1124183686 |
|---|---|
| LBN Legal business name | Larsen, Douglas Floyd |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Mar 6th, 2013 - about 11 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 | 1124183686 | NPPES |
| California | Other | 8403T | STATE LICENSE |
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