Individual
NEIL PATRICK LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BOULEVARD, BECKER BUILDING B224, LOS ANGELES, CA 90048
(310) 423-9535
Mailing address
8700 BEVERLY BLVD, BECKER BUILDING B224, LOS ANGELES, CA 90048
(310) 423-9535
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A164104
CA
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
A164104
CA
Other
Enumeration date
03/15/2018
Last updated
04/18/2026
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