Larick, Jason B

Larick, Jason B is an sole proprietor health care provider with primary practice located at 1161 E Covina Blvd , Covina CA 91724-1523. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Larick, Jason B can be contacted via phone (626) 859-5276.

Contact Information

Primary practice address
1161 E Covina Blvd Covina CA 91724-1523
Phone: (626) 859-5276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 663326 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95030298 California

Profile Details

NPI number 1356190193
LBN Legal business name Larick, Jason B
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2024
Last updated Jun 27th, 2024 - about 2 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.

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