Larsen, James

Larsen, James is an individual health care provider with primary practice located at 11370 Anderson St Ste 3150, Loma Linda CA 92354-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Larsen, James can be contacted via phone (909) 558-2191.

Contact Information

Primary practice address
11370 Anderson St Ste 3150 Loma Linda CA 92354-3450
Phone: (909) 558-2191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X G50426 California

Profile Details

NPI number 1760403547
LBN Legal business name Larsen, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760403547 NPPES
California MEDICAID 00G504260

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