JONATHAN LARSON MD PC

SAN CLEMENTE, CA
NPI1487334843
Entity TypeOrganization
Authorized ContactJOSHUA HOST
Authorized Official
949-484-9517
Organization Subpart ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
Enumeration Date2023-07-20
Last Update Date2024-08-26
Business Address
JONATHAN LARSON MD PC
2719 S EL CAMINO REAL
SAN CLEMENTE, CA 92672-3354
Phone number: 949-484-9517
Mailing Address
JONATHAN LARSON MD PC
2505 ANTHEM VILLAGE DRIVE SUITE F #162
HENDERSON, NV 89052
Phone number: 949-484-9517
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