Provider Demographics
NPI:1558703363
Name:LARSON, KRISZTINA ILONA (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISZTINA
Middle Name:ILONA
Last Name:LARSON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:541 W COLORADO ST STE 205
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-3640
Mailing Address - Country:US
Mailing Address - Phone:323-254-0046
Mailing Address - Fax:323-488-9782
Practice Address - Street 1:3808 W RIVERSIDE DR STE 302
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4363
Practice Address - Country:US
Practice Address - Phone:818-538-7040
Practice Address - Fax:833-442-1557
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2021-11-29
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Provider Licenses
StateLicense IDTaxonomies
CAA158003207RH0003X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology