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Individual

LARRY MACHMUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
12730 HEACOCK ST, 4B, MORENO VALLEY, CA 92553-3070
(951) 924-8300
(951) 924-8331
Mailing address
1676 E 6TH ST, SUITE C, BEAUMONT, CA 92223-5760
(951) 769-0300
(951) 769-2811

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
39344
CA

Other

Enumeration date
10/22/2013
Last updated
10/22/2013
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