Individual provider · Type 1 NPI

Ellen Elizabeth Larson, MD

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1093553356 Active

Practice location

550 16th St Fl 4
San Francisco, CA 94143-2549

Call (812) 270-1529 Map

Mailing address

2051 3rd St Apt 210
San Francisco, CA 94107-3822

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 1093553356

Ellen Elizabeth Larson, MD's National Provider Identifier is 1093553356, issued on Jul 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Jun 17, 2026.