Individual
DR. DOUGLAS FLOYD LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
41238 MARGARITA RD, SUITE 105, TEMECULA, CA 92591-5552
(951) 699-1111
(951) 699-0101
Mailing address
41238 MARGARITA RD, SUITE 105, TEMECULA, CA 92591-5552
(951) 699-1111
(951) 699-0101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8403T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8403T
STATE LICENSE
CA
Enumeration date
12/26/2006
Last updated
03/06/2013
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