| Larry H Couture Md Inc | |
|
6848 Magnolia Ave Ste 230 Riverside CA 92506-2858 | |
| (951) 682-9911 | |
| Not Available |
| Full Name | Larry H Couture Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6848 Magnolia Ave Ste 230, Riverside, California |
| Authorized Official Name and Position | Larry H Couture (PHYSICIAN) |
| Authorized Official Contact | 9516829911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry H Couture Md Inc 6848 Magnolia Ave Ste 230 Riverside CA 92506-2858 Ph: (951) 682-9911 | Larry H Couture Md Inc 6848 Magnolia Ave Ste 230 Riverside CA 92506-2858 Ph: (951) 682-9911 |
| NPI Number | 1679582258 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 01/18/2011 |
| Medicare PECOS PAC ID | 7810901477 |
|---|---|
| Medicare Enrollment ID | O20060202000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679582258 | NPI | - | NPPES |
| 00A638430 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A63843 (California) | Primary |
| Provider Name | Larry H Couture |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649295676 PECOS PAC ID: 9335106525 Enrollment ID: I20041220000646 |
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