Greg R. Larson is a Chiropractor in San Diego, California. Greg R. Larson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Greg R. Larson is 1629152319. The last update date is 2007-07-08.
Greg R. Larson's current location address is 13161 Black Mountain Rd Ste 2, San Diego, California. You can contact this provider via phone number 8585388404 and fax number 8585380456. The mailing address for Greg R. Larson is 13161 Black Mountain Rd Ste 2, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greg R. Larson |
|---|---|
| Address | 13161 Black Mountain Rd Ste 2, San Diego, California |
| Phone Number | 8585388404 |
| Fax Number | 8585380456 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1629152319 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13161 Black Mountain Rd Ste 2 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921292685 |
| Phone Number | 8585388404 |
| Fax Number | 8585380456 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC 17734 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identification code assigned to Greg R. Larson by the Centers for Medicare & Medicaid Services?
The Greg R. Larson has been issued the NPI (National Provider Identifier) 1629152319. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Greg R. Larson?
The Greg R. Larson is physically situated at 13161 Black Mountain Rd Ste 2, in the city of San Diego, state of CA, with the postal code 921292685.
What is the area of specialization for Greg R. Larson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Greg R. Larson is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date was the 1629152319 assigned to Greg R. Larson?
The Greg R. Larson was issued its 1629152319 on 2006-10-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Greg R. Larson most recently updated or refreshed?
The details pertaining to the Greg R. Larson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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