Individual
PAIGE M. LARRABEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1520 SAN PABLO ST, SUITE 322, LOS ANGELES, CA 90033-5310
(323) 442-6130
(323) 442-6133
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-6130
(323) 442-6133
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
16900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
07/10/2007
Last updated
11/29/2021
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