Most Relevant Information
Provider Data
| NPI Number: | 1003399106 |
| Provider Name: | LARRY BESONG |
| Entity Type: | Individual |
| Taxonomy Code: | 227900000X |
| Specialty: | Respiratory Therapist, Registered |
| License Number: | 12035 |
Most Important Dates
| Enumeration Date: | 09/13/2018 |
| Last Updated: | 09/13/2018 |
Provider Practice Location
22285 ROUNDUP DR
WALNUT
CA
91789
Practice Location Phone/Fax
| Phone: | 9099737617 |
| Fax: |
Provider Mailing Location
22285 ROUNDUP DR
WALNUT
CA
917891487
Provider Mailing Phone/Fax
| Phone: | 9099737617 |
| Fax: |