Individual
DR. MARY STELLA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 WHIPPLE AVE, SUITE 230, REDWOOD CITY, CA 94062-2843
(650) 306-2300
(650) 306-2336
Mailing address
3400 DATA DRIVE, RANCHO CORDOVA, CA 95670
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G76435
CA
207RC0000X
Cardiovascular Disease Physician
M-15598
ID
Other
Enumeration date
05/26/2006
Last updated
07/23/2025
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