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Organization

COAST PSYCHIATRY MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. INNA LARSEN MD (PSYCHIATRIST)
(650) 380-7194
Entity
Organization

Contact information

Practice address
1000 FREMONT AVE STE 250A, LOS ALTOS, CA 94024-6058
(650) 629-7532
(650) 282-4459
Mailing address
555 BRYANT ST STE 378, PALO ALTO, CA 94301-1704
(650) 380-7194
(650) 282-4459

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
04/22/2025
Last updated
04/22/2025
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