| Steven Edwin Larson, MD | |
|
7117 Brockton Ave, Riverside, CA 92506-2615 | |
| (951) 782-3618 | |
| (951) 784-3272 |
| Full Name | Steven Edwin Larson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Infectious Disease |
| Location | 7117 Brockton Ave, Riverside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790766160 | NPI | - | NPPES |
| ZZZ31887Z | Other | GROUP SITE NUMBER | |
| 1730180415 | Other | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G41825 (California) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | G41825 (California) | Primary |
| Entity Name | Riverside Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720183403 PECOS PAC ID: 2961492327 Enrollment ID: O20040517000880 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Edwin Larson, MD 3660 Arlington Ave, Riverside, CA 92506-3912 Ph: (951) 782-5110 | Steven Edwin Larson, MD 7117 Brockton Ave, Riverside, CA 92506-2615 Ph: (951) 782-3618 |
Sang Kun Yim, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-683-6370 | |
Marjorie Teresa Wimmer, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5414 Fax: 951-697-5492 | |
Sarah Chae, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4646 Brockton Ave Ste 201, Riverside, CA 92506 Phone: 951-585-1800 Fax: 951-585-1801 | |
Alina S Popa, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3636 | |
Richard M. Bradburne, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Shelly C. Thio, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Fawaz Gailani, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 |