Individual
DR. SAMUEL JAMES LARUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4343 LANKERSHIM BLVD STE 300, NORTH HOLLYWOOD, CA 91602-2705
(310) 301-6800
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A186634
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
296444
NY
2085R0204X
Vascular & Interventional Radiology Physician
A186634
CA
Other
Enumeration date
06/14/2016
Last updated
11/21/2024
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