Larissa Larsen Dermatology INC

NPI #1083239727 in Camarillo, California

Provider Information

NPI Number: 1083239727
Entity Type: Organization
Organization Name: Larissa Larsen Dermatology INC
Primary Specialty: Dermatology
Enumeration Date: Jun 9, 2020
Last Updated: Nov 27, 2023

Practice Location

Address: 2460 N PONDEROSA DR STE A117
City: Camarillo
State: California
ZIP Code: 93010-2468
Phone: (805) 430-0002

Authorized Official

Name: LARISSA NADIA LARSEN, MD
Title: OWNER
Phone: (805) 807-2367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Dermatology	207N00000X	Primary

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