Individual
GARRETT LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 PORT SHEFFIELD PL, NEWPORT BEACH, CA 92660-5328
(949) 910-9004
Mailing address
1818 PORT SHEFFIELD PL, NEWPORT BEACH, CA 92660-5328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA63470
CA
Other
Enumeration date
07/12/2022
Last updated
02/12/2024
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