Individual
JAMES M. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6655 ALVARADO RD, SAN DIEGO, CA 92120-5208
(619) 229-3130
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G38734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G387340
—
CA
Enumeration date
07/31/2006
Last updated
05/20/2009
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