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Amanda Larson

NPI 1063789006 · on the registry since 2011

Practice

Address
4900 Serrania Ave
Woodland Hills, CA 91364
Phone
(818) 347-1577
Fax
(818) 347-1326
Organisation at this address
Pacific Lodge Youth Services
Optimist Boys Home & Ranch, Inc.
Optimist Boys' Home & Ranch, Inc.
Optimist Boys' Home And Ranch, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
79

Registry record

Primary taxonomy
225400000X
225400000X
Sex
Female
Record last updated
2014-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California