Individual
DR. GREG R. LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13161 BLACK MOUNTAIN RD STE 2, SAN DIEGO, CA 92129-2685
(858) 538-8404
(858) 538-0456
Mailing address
13161 BLACK MOUNTAIN RD STE 2, SAN DIEGO, CA 92129-2685
(858) 538-8404
(858) 538-0456
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC 17734
CA
111NS0005X
Sports Physician Chiropractor
Primary
DC 17734
CA
Other
Enumeration date
10/25/2006
Last updated
09/11/2025
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