Garrett Larson
Garrett Larson is a Physician Assistant in Newport Beach, California. Qualified in 2023, 3 years ago. Licensed in California.
- Years since qualifying
- 3
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
1818 Port Sheffield PlNewport Beach, CA 92660-5328
Phone: (949) 910-9004
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA63470 (CA) |
|---|
Record details
| NPI number | 1962136218 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 12, 2022 |
| Last updated in NPPES | February 12, 2024 |
| Certification date | February 12, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 4 on file with Medicare |
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