Organization
L SNYDER INCORPORATED
Active
Other names
Pacific MAT Center
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY SNYDER MD (PHYSICIAN -ADDICTION SPECIALIST)
(949) 616-4627
Entity
Organization
Contact information
Practice address
34052 LA PLAZA #101, DANA POINT, CA 92629
(949) 496-4369
(949) 496-9365
Mailing address
34145 PACIFIC COAST HIGHWAY #343, DANA POINT, CA 92629
(949) 616-4627
(949) 496-9365
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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