Provider Demographics
NPI:1992042576
Name:LARGURA, APRIL ROSE (HHP)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:ROSE
Last Name:LARGURA
Suffix:
Gender:F
Credentials:HHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 CABLE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92107-3141
Mailing Address - Country:US
Mailing Address - Phone:619-246-8240
Mailing Address - Fax:
Practice Address - Street 1:4967 NEWPORT AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92107-3167
Practice Address - Country:US
Practice Address - Phone:619-246-8240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2017-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20281225400000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist