LARRY KUSSIN M.D. NPI 1235189994

NPI Information

NPI: 1235189994
Provider Name: LARRY KUSSIN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
15243 VANOWEN ST
VAN NUYS, CA
ZIP 91405
Phone: (818) 782-6110
Get Directions

Larry Kussin, M.D. is a diagnostic radiology radiology in Van Nuys, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Larry Kussin, M.D. NPI is 1235189994. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15243 VANOWEN ST
VAN NUYS, CA
ZIP 91405-632
Phone: (818) 782-6110

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/21/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	A20370	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A22136	MEDICARE UPIN
2	WA20370M	MEDICARE ID-TYPE UNSPECIFIED
3	00A203700	MEDICAID	CALIFORNIA
4	WA20370I	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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