LARRY J MARSHALL MD A PROFESSIONAL CORPORATION
NPI 1689884942
General Practice in Lakeside, CA

Q: What is Larry J Marshall MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since May 23, 2007

12517 LAKESHORE DR, LAKESIDE, CA 92040(619) 443-3843(619) 390-1810 Get Directions Write a Review

NPPES record last updated: December 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Larry J Marshall Md A Professional Corporation NPPES

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

LARRY J MARSHALL MD A PROFESSIONAL CORPORATION (NPI 1689884942) is a healthcare organization registered as a general practice in Lakeside, California and active in the NPI registry since May 2007. The organization lists Larry J Marshall, President, as its authorized official.

NPPES Registry Identity

NPI1689884942

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameLARRY J MARSHALL MD A PROFESSIONAL CORPORATION

Location Address12517 LAKESHORE DRLakeside, CA 92040-3103

Mailing Address12517 Lakeshore DrLakeside, CA 92040-3103 · (619) 443-3843 · Fax (619) 390-1810

Phone(619) 443-3843

Fax(619) 390-1810

Organization SubpartNo

Authorized OfficialLarry J MarshallPresident · (619) 443-3843

Enumeration DateMay 23, 2007

Last NPPES UpdateDecember 10, 2010

✔ NPI 1689884942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A52344

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

12517 LAKESHORE DR, Lakeside, CA 92040

Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedW14224ACA

MedicaidGR0081780CA

Other00A523440CA · Blue Cross Blue Shield

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 3

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

DR. LARRY J MARSHALL MD

Family Medicine

12517 LAKESHORE DR
LAKESIDE, CA 92040

San Diego County (619) 443-3843

DR. VICTOR MANUEL MENDOZA-FERNANDEZ

Family Medicine

12517 LAKESHORE DR
LAKESIDE, CA 92040

San Diego County (619) 443-3843

JACOB THOMAS BOLZ PA-C

Physician Assistant

12517 LAKESHORE DR
LAKESIDE, CA 92040

San Diego County (619) 443-3843

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 J Marshall MD A Professional Corporation's NPI number?

The NPI number for Larry J Marshall MD A Professional Corporation is 1689884942. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Larry J Marshall MD A Professional Corporation located?

Larry J Marshall MD A Professional Corporation is located at 12517 Lakeshore Dr, Lakeside, CA 92040. The listed phone number is (619) 443-3843.

What is Larry J Marshall MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Larry J Marshall MD A Professional Corporation was last updated on December 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.