Brett Larson, PA-C
NPI #1154724052 in Dana Point, California
Provider Information
- NPI Number
- 1154724052
- Entity Type
- Individual
- Name
- Brett Larson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 6, 2014
- Last Updated
- Apr 24, 2019
Practice Location
- Address
- 14 MONARCH BAY PLZ # 122
- City
- Dana Point
- State
- California
- ZIP Code
- 92629-3424
- Phone
- (949) 350-7508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Physician Assistant |
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