Individual
JOHN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, SUITE A7D, LOS ANGELES, CA 90033-1029
(323) 442-7903
Mailing address
1200 N STATE ST, SUITE A7D, LOS ANGELES, CA 90033-1029
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
142514
CA
Other
Enumeration date
01/29/2016
Last updated
05/23/2016
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