Emdur, Larry I
Emdur, Larry I is an individual health care provider with primary practice located at 6719 Alvarado Rd #108, San Diego CA 92120-5270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Emdur, Larry I can be contacted via phone (619) 286-8803.Contact Information
Primary practice address
6719 Alvarado Rd #108
San Diego CA 92120-5270
Phone: (619) 286-8803
Fax: (619) 286-2344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 20A4940 | California |
Profile Details
| NPI number | 1932109642 |
|---|---|
| LBN Legal business name | Emdur, Larry I |
| Credentials | DO, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Jun 6th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932109642 | NPPES |
| California | Other | ZZZ39696Z | BLUE CROSS |
| California | Other | 00AX4940 | BLUE CROSS |
| California | Other | 20A4940 | BLUE CROSS |
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