| Brent K Larson, DO | |
|
1500 San Pablo Street, Pathology Lab, Los Angeles, CA 90033-5313 | |
| (323) 442-2588 | |
| Not Available |
| Full Name | Brent K Larson |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 14 Years |
| Location | 1500 San Pablo Street, Los Angeles, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396161980 | NPI | - | NPPES |
| 20A12618 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 20A12618 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cedars-sinai Medical Center | Los angeles, CA | Hospital |
| Cedar-sinai Marina Del Rey Hospital | Marina del rey, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedars-sinai Medical Care Foundation | 0941106645 | 1451 |
| Entity Name | Cedars-sinai Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent K Larson, DO Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-2588 | Brent K Larson, DO 1500 San Pablo Street, Pathology Lab, Los Angeles, CA 90033-5313 Ph: (323) 442-2588 |
Evan Yung, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-2582 | |
Tiannan Wang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Rm 216, Los Angeles, CA 90033 Phone: 323-442-2582 | |
Joshua Mo, MD Pathology Medicare: May Accept Medicare Assignments Practice Location: 10833 Leconte Ave Room A3-190, Los Angeles, CA 90095 Phone: 314-803-3291 | |
Nancy Klipfel, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-2582 Fax: 323-442-2588 | |
Lee Harold Hilborne, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285 | |
Peter Tontonoz, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285 | |
Jeffrey Fred Krane, MD PHD Pathology Medicare: Medicare Enrolled Practice Location: 10833 Le Conte Ave # 13-145f, Los Angeles, CA 90095 Phone: 310-206-8199 Fax: 310-267-2058 |