Individual
LARISA MAGID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18376 CLARK ST, TARZANA, CA 91356-3502
(818) 996-4077
(818) 996-4069
Mailing address
10906 WRIGHTWOOD LN, STUDIO CITY, CA 91604-3954
(310) 429-0364
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17018
CA
Other
Enumeration date
02/28/2007
Last updated
11/29/2011
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