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Michael Larsen

NPI 1134508039 · on the registry since 2015 · sole proprietor

Practice

Address
11019 Dove Tail Ter
San Diego, CA 92128
Phone
(858) 231-6603

Registry record

Primary taxonomy
2471M1202X
2471M1202X
Also registered as
2471M1202X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-05-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California