Machmud, Larry

Machmud, Larry is an individual health care provider with primary practice located at 12730 Heacock St 4B, Moreno Valley CA 92553-3070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Machmud, Larry can be contacted via phone (951) 924-8300.

Contact Information

Primary practice address
12730 Heacock St 4B Moreno Valley CA 92553-3070
Phone: (951) 924-8300
Fax: (951) 924-8331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 39344 California

Profile Details

NPI number 1801224233
LBN Legal business name Machmud, Larry
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2013
Last updated Oct 22nd, 2013 - about 12 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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