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LARRY I. EMDUR, D.O., PHD.
NPI 1326189671
Specialist in San Diego, CA

Active since February 09, 2007
5555 RESERVOIR DR, 201, SAN DIEGO, CA 92120(619) 286-8803(619) 286-2344 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larry I. Emdur, D.o., Phd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY I. EMDUR, D.O., PHD. (NPI 1326189671) is a healthcare organization registered as a specialist in San Diego, California and active in the NPI registry since February 2007. The organization lists Larry I Emdur, President,owner, as its authorized official.

NPPES Registry Identity

NPI1326189671
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLARRY I. EMDUR, D.O., PHD.
Location Address5555 RESERVOIR DR, 201San Diego, CA 92120-5134
Mailing Address5173 Waring Rd, Suite 125San Diego, CA 92120-2705 · (619) 286-8803 · Fax (619) 286-2344
Phone(619) 286-8803
Fax(619) 286-2344
Organization SubpartNo
Authorized OfficialLarry I EmdurPresident,owner · (619) 286-8803
Enumeration DateFebruary 9, 2007
Last NPPES UpdateAugust 6, 2012
✔ NPI 1326189671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · 20A4940
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5555 RESERVOIR DR, San Diego, CA 92120
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Other Identifiers 4

Other20A4940CA · Ca State License
Medicare UPINA93600CA
Medicare PINW10998CA
OtherGR0044140CA · Medi-ca;

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK ALLEN TAPSCOTT D.O.
Specialist
5555 RESERVOIR DR, SUITE 203
SAN DIEGO, CA 92120
San Diego County (619) 287-2590
FRANK J RITZ ASW
Social Worker (Clinical)
5555 RESERVOIR DR
SAN DIEGO, CA 92120
San Diego County (619) 822-1800
ANGELINA NOSTI
Behavior Technician
5555 RESERVOIR DR
SAN DIEGO, CA 92120
San Diego County (619) 363-4247
DR. JOHN R WILKINSON M.D.
Specialist
5555 RESERVOIR DR, SUITE 207
SAN DIEGO, CA 92120
San Diego County (619) 255-1754
WILLIAM N BURDINE, III R.PH
Pharmacist
5555 RESERVOIR DR, SUITE #114
SAN DIEGO, CA 92120
San Diego County (619) 287-5035
CHARLES RICHARD KOSSMAN M.D.
Internal Medicine (Hematology & Oncology)
5555 RESERVOIR DR, SUITE 306
SAN DIEGO, CA 92120
San Diego County (619) 287-9910
DR. FARHAD FARJOUDI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5555 RESERVOIR DR, STE 312
SAN DIEGO, CA 92120
San Diego County (619) 269-1296
WILLIAM PATRICK MANN MD
Internal Medicine (Cardiovascular Disease)
5555 RESERVOIR DR, STE 200
SAN DIEGO, CA 92120
San Diego County (619) 287-4813

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry I. Emdur, D.O., Phd.'s NPI number?

The NPI number for Larry I. Emdur, D.O., Phd. is 1326189671. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Larry I. Emdur, D.O., Phd. located?

Larry I. Emdur, D.O., Phd. is located at 5555 Reservoir Dr 201, San Diego, CA 92120. The listed phone number is (619) 286-8803.

What is Larry I. Emdur, D.O., Phd.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Larry I. Emdur, D.O., Phd. was last updated on August 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.