Larson, Merlin D

Larson, Merlin D is an individual health care provider with primary practice located at 1600 Divisadero St , San Francisco CA 94143-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Larson, Merlin D can be contacted via phone (415) 885-7412.

Contact Information

Primary practice address
1600 Divisadero St San Francisco CA 94143-0001
Phone: (415) 885-7412
Fax: (415) 885-7284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C30707 California

Profile Details

NPI number 1003872805
LBN Legal business name Larson, Merlin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 30th, 2008 - about 16 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 1003872805 NPPES
California MEDICAID 00C307070

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