Individual
LARISA FAKTOROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
CRNA
Contact information
Practice address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-2000
Mailing address
1528 PERSHING DR APT A, SAN FRANCISCO, CA 94129-1203
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002626
CA
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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