Larsson, Jan Olof

Larsson, Jan Olof is an sole proprietor health care provider with primary practice located at 18055 Ventura Blvd , Encino CA 91316-3517. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Larsson, Jan Olof can be contacted via phone (760) 641-1692.

Contact Information

Primary practice address
18055 Ventura Blvd Encino CA 91316-3517
Phone: (760) 641-1692
Fax: (818) 783-5938
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A52928 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A52928 California

Profile Details

NPI number 1346399292
LBN Legal business name Larsson, Jan Olof
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 9th, 2007 - about 18 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 1346399292 NPPES
California Other A52928 STATE LICENCE, ALSO IN NY

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