Organization
LARISSA LARSEN DERMATOLOGY INC
Active
Other names
Camarillo Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
LARISSA NADIA LARSEN MD (OWNER)
(805) 807-2367
Entity
Organization
Contact information
Practice address
2460 N PONDEROSA DR STE A117, CAMARILLO, CA 93010-2468
(805) 430-0002
(805) 389-1245
Mailing address
2460 N PONDEROSA DR STE A117, CAMARILLO, CA 93010-2468
(805) 430-0002
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
06/09/2020
Last updated
11/27/2023
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