Individual provider · Type 1 NPI

Brooke Larsen

Student in an Organized Health Care Education/Training Program · Van Nuys, CA

NPI number 1013841816 Active

Practice location

16650 Sherman Way
Van Nuys, CA 91406-3782

Mailing address

5548 De Vore Ct
Agoura Hills, CA 91301-2247

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013841816

Brooke Larsen's National Provider Identifier is 1013841816, issued on Jun 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Van Nuys, CA. The record was last updated on Jun 9, 2026.