| Larson Medical Group, Inc | |
|
1442 Camino Del Mar Ste 212 Del Mar CA 92014-2550 | |
| (760) 634-1704 | |
| Not Available |
| Full Name | Larson Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1442 Camino Del Mar Ste 212, Del Mar, California |
| Authorized Official Name and Position | David M Larson (PRESIDENT) |
| Authorized Official Contact | 8583673401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larson Medical Group, Inc 1042 N El Camino Real Ste B380 Encinitas CA 92024-1322 Ph: (858) 367-3401 | Larson Medical Group, Inc 1442 Camino Del Mar Ste 212 Del Mar CA 92014-2550 Ph: (760) 634-1704 |
| NPI Number | 1679049076 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 10/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679049076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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