Organization
BRENT R LARSON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT RAYMOND LARSON M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
1393 SANTA RITA RD STE F, PLEASANTON, CA 94566-5667
(925) 462-2334
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1012
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A63652
CA
Other
Enumeration date
04/09/2007
Last updated
11/17/2008
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