Larisa Petrison in Palo Alto - Physician Assistant
Larisa Petrison - NPI 1902965676
Larisa Petrison is a Physician Assistant in Palo Alto, California. Larisa Petrison practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Larisa Petrison is 1902965676. The last update date is 2014-09-25.
Larisa Petrison's current location address is 1804 Embarcadero Rd, Palo Alto, California. You can contact this provider via phone number 6507234000. The mailing address for Larisa Petrison is 1804 Embarcadero Rd, Palo Alto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larisa Petrison |
|---|---|
| Address | 1804 Embarcadero Rd, Palo Alto, California |
| Phone Number | 6507234000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1902965676 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2014-09-25 |
Provider Mailing Address Detail
| Address | 1804 Embarcadero Rd |
|---|---|
| City | Palo Alto |
| State | California (CA) |
| Post Code | 943033341 |
| Phone Number | 6507234000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA17434 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Larisa Petrison by the Centers for Medicare & Medicaid Services?
The Larisa Petrison has been assigned the NPI (National Provider Identifier) 1902965676 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Larisa Petrison is located?
The Larisa Petrison is situated at the following address: 1804 Embarcadero Rd, Palo Alto, CA, 943033341.
What is the Larisa Petrison's specialty and taxonomy code?
The Larisa Petrison's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902965676 to Larisa Petrison?
The Centers for Medicare & Medicaid Services originally issued the 1902965676 to Larisa Petrison on 2006-12-08.
As of what date was the information pertaining to Larisa Petrison, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larisa Petrison, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-09-25.