Kristi Lynn Larock in Fremont - Physician Assistant
Kristi Lynn Larock - NPI 1255317350
Kristi Lynn Larock is a Physician Assistant in Fremont, California. Kristi Lynn Larock practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kristi Lynn Larock is 1255317350. The last update date is 2016-05-16.
Kristi Lynn Larock's current location address is 2500 Mowry Ave, Fremont, California. You can contact this provider via phone number 5108181160 and fax number 5108181195. The mailing address for Kristi Lynn Larock is 2500 Mowry Ave, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristi Lynn Larock |
|---|---|
| Address | 2500 Mowry Ave, Fremont, California |
| Phone Number | 5108181160 |
| Fax Number | 5108181195 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1255317350 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2016-05-16 |
Provider Mailing Address Detail
| Address | 2500 Mowry Ave |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945381605 |
| Phone Number | 5108181160 |
| Fax Number | 5108181195 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 17772 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17772 | CA | PA LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kristi Lynn Larock?
The Kristi Lynn Larock has been issued the NPI (National Provider Identifier) 1255317350 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Kristi Lynn Larock located?
The Kristi Lynn Larock is located at 2500 Mowry Ave, Fremont, CA 945381605.
What is Kristi Lynn Larock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kristi Lynn Larock is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did Kristi Lynn Larock receive its 1255317350 assignment from the Centers for Medicare & Medicaid Services?
The Kristi Lynn Larock was assigned its 1255317350 on 2005-12-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kristi Lynn Larock most recently updated or refreshed?
The details pertaining to the Kristi Lynn Larock, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-05-16.
NPI Number: 1336142389
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