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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346399292 | NPPES |
| California | Other | A52928 | STATE LICENCE, ALSO IN NY |
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