Organization
JAMES R LAROSE DPM A PROFESSIONAL CORP
Active
Other names
Regional Foot & Ankle Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R LAROSE D.P.M. (OWNER)
(909) 985-2555
Entity
Organization
Contact information
Practice address
1060 N 13TH AVENUE, UPLAND, CA 91786-3785
(909) 985-2555
(909) 985-0068
Mailing address
1060 N 13TH AVENUE, UPLAND, CA 91786-3785
(909) 985-2555
(909) 985-0068
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS9089
MEDICARE RAILROAD
CA
Enumeration date
09/04/2008
Last updated
07/21/2022
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