Joseph Larsen, RN, CNIM is a
Technician, Other based in Rancho Cordova, California. Joseph Larsen is licensed to practice in California (license number 483) and his current practice location is
11121 Sun Center Dr, Suite G, Rancho Cordova, California. He can be reached at his office (for appointments etc.) via phone at
(916) 631-0112.
NPI number for Joseph Larsen is 1902028103 and his current mailing address is 11121 Sun Center Dr, Suite G, Rancho Cordova, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902028103.
Provider's Profile
| Full Name | Joseph Larsen |
|---|
| Gender | Male |
|---|
| Speciality | Technician, Other |
|---|
| Location | 11121 Sun Center Dr, Rancho Cordova, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1902028103
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Joseph Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902028103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 444420 (California) | Primary |
| 247200000X | Technician, Other | 483 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joseph Larsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Joseph Larsen, RN, CNIM
11121 Sun Center Dr, Suite G,
Rancho Cordova, CA 95670-6161
Ph: (916) 631-0112 | Joseph Larsen, RN, CNIM
11121 Sun Center Dr, Suite G,
Rancho Cordova, CA 95670-6161
Ph: (916) 631-0112 |
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