Larson, Benjamin Thayne

Larson, Benjamin Thayne is an sole proprietor health care provider with primary practice located at 25495 Medical Center Dr Ste 204 , Murrieta CA 92562. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Larson, Benjamin Thayne can be contacted via phone (951) 698-1901.

Contact Information

Primary practice address
25495 Medical Center Dr Ste 204 Murrieta CA 92562
Phone: (951) 698-1901
Fax: (951) 698-8232
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X A136009 California

Profile Details

NPI number 1972747988
LBN Legal business name Larson, Benjamin Thayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2009
Last updated Sep 8th, 2021 - about 3 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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