| Jacob Daniel Larson, PA-C | |
|
62 Abmc, Bldg 620305, Camp Pendleton, CA 92055 | |
| (760) 725-7100 | |
| Not Available |
| Full Name | Jacob Daniel Larson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 62 Abmc, Camp Pendleton, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174084149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 58776 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Daniel Larson, PA-C Po Box 555381, Camp Pendleton, CA 92055-5381 Ph: (760) 725-7100 | Jacob Daniel Larson, PA-C 62 Abmc, Bldg 620305, Camp Pendleton, CA 92055 Ph: (760) 725-7100 |
Ms. Allison Shea, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Mercy Ct, Camp Pendleton, CA 92055 Phone: 760-725-1288 | |
Jordan E Vitelli, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Mercy Circle Rd, Camp Pendleton, CA 92055 Phone: 760-725-1577 | |
Brandon Walter Miller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 434057 Del Valle Ave, Camp Pendleton, CA 92055 Phone: 716-868-9014 | |
Dr. Paul Michael Lutter, DMSC, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: H100 Santa Margarita Road, Naval Hospital, Camp Pendleton Attn: Code 094, Camp Pendleton, CA 92055 Phone: 760-725-7029 | |
Joseph Baugh, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: H100 Santa Margarita Road, Atttention Code 094, Naval Hospital, Camp Pendleton, Camp Pendleton, CA 92055 Phone: 928-269-3177 | |
Jorge Gonzalo Jara, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-719-3308 |