Individual
MATTHEW LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS ATC, CSCS
Contact information
Practice address
13800 BIOLA AVE, LA MIRADA, CA 90639-0002
(000) 000-0000
Mailing address
13800 BIOLA AVE, LA MIRADA, CA 90639-0002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
05/11/2026
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