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Organization
LARSON MEDICAL GROUP, INC
Active
Organization
LARSON MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M LARSON MD (PRESIDENT)
(858) 367-3401
Entity
Organization
Contact information
Practice address
1442 CAMINO DEL MAR STE 212, DEL MAR, CA 92014-2550
(760) 634-1704
Mailing address
1042 N EL CAMINO REAL STE B380, ENCINITAS, CA 92024-1322
(858) 367-3401
(888) 734-5568
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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