# ERIC MOWATT-LARSSEN, MD, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1982955399
- **Authorized official:** DR. ERIC MOWATT-LARSSEN MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (831) 646-8346

## Contact information

- **Practice address:** 977 PACIFIC ST STE B, MONTEREY, CA 93940-4400
- **Practice address phone:** (831) 646-8346
- **Practice address fax:** (831) 646-5261
- **Mailing address:** 977 PACIFIC ST STE B, MONTEREY, CA 93940-4400
- **Mailing address phone:** (831) 646-8346
- **Mailing address fax:** (831) 646-5261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | C55209 | CA | Yes |

## Other

- **Enumeration date:** 09/25/2012
- **Last updated:** 09/26/2016