Larson, Derek Thomas

Larson, Derek Thomas is an sole proprietor health care provider with primary practice located at 34800 Bob Wilson Dr , San Diego CA 92134-1098. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Larson, Derek Thomas can be contacted via phone (619) 532-7478.

Contact Information

Primary practice address
34800 Bob Wilson Dr San Diego CA 92134-1098
Phone: (619) 532-7478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 0102203897 Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0102203897 Virginia

Profile Details

NPI number 1104165034
LBN Legal business name Larson, Derek Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2013
Last updated Aug 14th, 2023 - about 3 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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