institution
Larry I. Emdur, D.o., Phd.
Specialist in San Diego, California
NPI 1326189671

Larry I. Emdur, D.o., Phd. is a Specialist based in San Diego, CA. Larry I. Emdur, D.o., Phd. practices in San Diego, CA. The NPI Number for Larry I. Emdur, D.o., Phd. is 1326189671 and holds a License No. 20A4940 (California).

The current practice location address for Larry I. Emdur, D.o., Phd. is 5555 Reservoir Dr, San Diego, CA and can be reached out via phone at 619-286-8803 and via fax at 619-286-2344.

Location: 5555 Reservoir Dr, San Diego, CA, 92120-2705
institution
Provider Profile Details
NPI Number
1326189671
Provider Name
Larry I. Emdur, D.o., Phd.
Credential
Provider Entity Type
Organization
Address
5555 Reservoir Dr, San Diego, CA, 92120-2705
Phone Number
619-286-8803
Fax Number
619-286-2344
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0044140 01 CA MEDI-CA;
20A4940 01 CA CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5555 Reservoir Dr
City
State
Zip
92120-5134
Phone Number
619-286-8803
Fax Number
619-286-2344
person
Provider Business Mailing Address Details
Address
5555 Reservoir Dr
City
State
Zip
92120-5134
Phone Number
619-286-8803
Fax Number
619-286-2344
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
20A4940 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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