Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Larry Merritt III, RADT

Individual provider Community Health Worker · NPI 1740009810

Mr. Larry Merritt III, RADT is a Community Health Worker in Azusa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

23701 E East Fork Rd
Azusa, CA 91702-1477
Phone: (626) 910-1202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence R1569710724 (CA)

Record details

NPI number1740009810
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorYes
NPI enumeratedOctober 7, 2024
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024

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