DR. KRISZTINA ILONA LARSON


Address: 425 Haaland Dr Ste 103, Thousand Oaks, CA 91361-5230
Phone: 8054093088

DR. KRISZTINA ILONA LARSON (NPI# 1558703363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558703363
Entity Type Individual
Full Name DR. KRISZTINA ILONA LARSON
Credential M.D.
Practice Address 425 Haaland Dr Ste 103
Thousand Oaks
CA 91361-5230
Mailing Address 18000 Studebaker Rd Ste 800
Cerritos
CA 90703-2671
Practice Telephone 8054093088
Practice Fax Number 8054137472
Mailing Telephone 5627353226
Enumeration Date 2013-07-22
Last Update Date 2019-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 896-L MS Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
A158003 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
7320 Woodlake Ave Ste 160, West Hills, CA 913071481 8189243269 8189603969

Office Location

Street Address 425 HAALAND DR STE 103
City THOUSAND OAKS
State CA
Zip Code 91361-5230

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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1841666534 Adventist Health Physicians Network Internal Medicine 425 Haaland Dr, 101, Thousand Oaks, CA 91361-5229 2015-08-17
1871923631 Adventist Health Physicians Network Internal Medicine 227 W Janss Rd, #310, Thousand Oaks, CA 91360-1848 2013-11-14
1417145673 Ashwin Kashyap, Md. Inc Internal Medicine 555 Marin St, 200, Thousand Oaks, CA 91360-4236 2007-10-11
1720074099 Harry Samuel Menco Internal Medicine 227 W Janss Rd, # 310, Thousand Oaks, CA 91360-1848 2005-09-22

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Competitor

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City THOUSAND OAKS
Zip Code 91361

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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