Organization
COREY LARSEN M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY B LARSEN MD (PRESIDENT)
(310) 457-1930
Entity
Organization
Contact information
Practice address
29536 HARVESTER RD, MALIBU, CA 90265-3815
(310) 457-1930
(310) 457-4878
Mailing address
29536 HARVESTER RD, MALIBU, CA 90265-3815
(310) 457-1930
(310) 457-4878
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G21579
CA
Other
Enumeration date
03/14/2007
Last updated
11/10/2009
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