Gonzalez, Larissa M

Gonzalez, Larissa M is an individual health care provider with primary practice located at 302 W La Veta Ave , Orange CA 92866-2607. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gonzalez, Larissa M can be contacted via phone (714) 545-5550.

Contact Information

Primary practice address
302 W La Veta Ave Orange CA 92866-2607
Phone: (714) 545-5550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 56383 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X PA56383 California

Profile Details

NPI number 1811461106
LBN Legal business name Gonzalez, Larissa M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2019
Last updated Aug 29th, 2025 - about last year

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.

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