Individual
MICHAEL LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11019 DOVE TAIL TER, SAN DIEGO, CA 92128-4019
(858) 231-6603
Mailing address
11019 DOVE TAIL TER, SAN DIEGO, CA 92128-4019
(858) 231-6603
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
180139
CA
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
RHT00045134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
ALTOS GROUP
CA
Enumeration date
05/25/2015
Last updated
05/25/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us