James Richard Larose
Podiatrist
1060 N 13th Ave
Upland
, California 91786-3785
James Richard Larose
Podiatrist
1060 N 13th Ave
Upland
, California 91786-3785
(909) 985-0068
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- James Richard Larose
- 1060 N 13th Ave
- Upland, CA
- Zip : 91786-3402
- Fax : (909) 985-0068
- Phone : (909) 985-2555
Second Address
- James Richard Larose
- 1060 N 13th Ave
- Upland, CA
- Zip : 91786-3785
- Fax : (909) 985-0068
- Phone : (909) 985-2555
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Is James Richard Larose a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E1467 | CA |
| Y | 222Z00000X | Podiatrist | E1467 | CA |
National Provider Identifier
| NPI | 1043391584 |
|---|---|
| Provider Name | James Richard Larose |
| First Address | Upland, CA 91786-3402 |
| Second Address | Upland, CA 91786-3785 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2006 |
| Last Update Date | 09/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 480029125 | MEDICARE RAILROAD (01) | CA |
| 6501520001 | MEDICARE NSC (01) | CA |
| T10969 | (02) | |
| ZZZ80594Z | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.