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Individual

JAMES LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11370 ANDERSON ST, STE 3150, LOMA LINDA, CA 92354-3450
(909) 558-2191
Mailing address
56994 FILE NUMBER, LOS ANGELES, CA 90074-6994
(909) 558-3111

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G50426
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G504260
CA
Enumeration date
07/21/2006
Last updated
07/08/2007
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