Individual
LARRY NORMAN MAGNUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 DANIEL BURNHAM CT STE 365-C, SAN FRANCISCO, CA 94109-5490
(415) 202-1920
(415) 922-6344
Mailing address
3641 LAWAIUKA ROAD, LAWAI, HI 96765
(808) 332-0779
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
G10995
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G10995
LICENSE
CA
Enumeration date
12/15/2006
Last updated
03/07/2023
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