Dr Donald W Larsen, MD | |
1520 San Pablo St, Ste 3800, Los Angeles, CA 90033-5310 | |
(323) 442-5720 | |
(323) 442-7543 |
Full Name | Dr Donald W Larsen |
---|---|
Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 1520 San Pablo St, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558305532 | NPI | - | NPPES |
BR640Z | Other | PTAN | |
00G580820 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | G58082 (California) | Primary |
Entity Name | Usc Care Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
Mailing Address | Practice Location Address |
---|---|
Dr Donald W Larsen, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-5720 | Dr Donald W Larsen, MD 1520 San Pablo St, Ste 3800, Los Angeles, CA 90033-5310 Ph: (323) 442-5720 |
Doron Ben Avi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459 | |
Hsin Y Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-4721 | |
Colin J. Wells, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-301-6800 | |
Eric Allan White, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-8541 Fax: 323-442-8755 | |
Dr. Lloyd Edward Greaser Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Department Of Radiology, Los Angeles, CA 90095 Phone: 310-825-4321 | |
Dr. Hanako Yamauchi Farol, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4950 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-7571 | |
Siamak Dardashti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459 |