Corey Larsen M.d. Inc.

NPI #1649303793 in Malibu, California

Provider Information

NPI Number: 1649303793
Entity Type: Organization
Organization Name: Corey Larsen M.d. Inc.
Primary Specialty: Anesthesiology
Enumeration Date: Mar 14, 2007
Last Updated: Nov 10, 2009

Practice Location

Address: 29536 HARVESTER RD
City: Malibu
State: California
ZIP Code: 90265-3815
Phone: (310) 457-1930

Authorized Official

Name: DR. COREY B LARSEN, MD
Title: PRESIDENT
Phone: (310) 457-1930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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