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Organization

ALLAN I LARNER MD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLAN IRVING LARNER MD (PRESIDENT)
(760) 468-4656
Entity
Organization

Contact information

Practice address
921 S BEACON ST, SAN PEDRO, CA 90731-3740
(760) 468-4656
(760) 723-3223
Mailing address
PO BOX 1233, BONSALL, CA 92003
(760) 468-4656
(760) 723-3223

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A28596
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A285960
CA
Enumeration date
10/31/2007
Last updated
12/23/2009
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