Larson, Brett

Larson, Brett is an sole proprietor health care provider with primary practice located at 14 Monarch Bay Plz # 122 , Dana Point CA 92629-3424. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Larson, Brett can be contacted via phone (949) 350-7508.

Contact Information

Primary practice address
14 Monarch Bay Plz # 122 Dana Point CA 92629-3424
Phone: (949) 350-7508
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 51996 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 51996 California

Profile Details

NPI number 1154724052
LBN Legal business name Larson, Brett
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2014
Last updated Apr 24th, 2019 - about 7 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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