Organization
LARRY M. ISAACS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY M ISAACS M.D. (PRESIDENT)
(661) 212-0650
Entity
Organization
Contact information
Practice address
41230 11TH ST W, SUITE B, PALMDALE, CA 93551-1411
(661) 212-0650
Mailing address
PO BOX 9126, CANOGA PARK, CA 91309-0126
(818) 709-8161
(818) 709-8160
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G86613
CA
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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