Provider Demographics
NPI:1295046407
Name:OZOWARA, LARRY U (MD)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:U
Last Name:OZOWARA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1595
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-1595
Mailing Address - Country:US
Mailing Address - Phone:925-940-8395
Mailing Address - Fax:925-304-1651
Practice Address - Street 1:2001 DWIGHT WAY STE 4190
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2608
Practice Address - Country:US
Practice Address - Phone:510-204-4635
Practice Address - Fax:510-204-3060
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2024-01-05
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Provider Licenses
StateLicense IDTaxonomies
CAA1441822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry