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Organization
DAVID LARSON MD PC
Active
Organization
DAVID LARSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LARSON MD (PRESIDENT & CEO)
(858) 367-3401
Entity
Organization
Contact information
Practice address
345 SAXONY RD STE 206, ENCINITAS, CA 92024-2792
(858) 367-3401
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
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
02/24/2019
Last updated
02/24/2019
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