Larson, Diana Kay

Larson, Diana Kay is an sole proprietor health care provider with primary practice located at 23110 Atlantic Cir Suite A, Moreno Valley CA 92553-5920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Larson, Diana Kay can be contacted via phone (951) 924-9931.

Contact Information

Primary practice address
23110 Atlantic Cir Suite A Moreno Valley CA 92553-5920
Phone: (951) 924-9931
Fax: (951) 243-8126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 17311 California

Profile Details

NPI number 1982868576
LBN Legal business name Larson, Diana Kay
Credentials PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2008
Last updated Jul 14th, 2008 - 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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