# JONATHAN LARSON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487334843
- **Authorized official:** JOSHUA HOST (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (949) 484-9517

## Contact information

- **Practice address:** 10 N HIGH ST STE 222, COLUMBUS, OH 43215-3497
- **Practice address phone:** (949) 484-9517
- **Practice address fax:** (949) 569-1295
- **Mailing address:** 2505 ANTHEM VILLAGE DRIVE SUITE E\#162, HENDERSON, NV 89052-5529
- **Mailing address phone:** (949) 484-9517
- **Mailing address fax:** (949) 569-1295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2023
- **Last updated:** 07/16/2025