LARRY I. EMDUR DO, PHD – NPI #1932109642
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Health Care Provider Taxonomy Code for Internal Medicine

LARRY EMDUR is a physician located in SAN DIEGO, CA. NPPES has assigned the NPI number 1932109642 to LARRY EMDUR on July 22, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was previously updated about 4 years ago on Jun 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARRY EMDUR below.

NPI Profile for
LARRY I. EMDUR

NPI Number
1932109642
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LARRY I. EMDUR
Credentials
DO, PHD
Primary location
6719 ALVARADO RD
#108
SAN DIEGO, CA 92120-5270
Phone: (619) 286-8803 Fax: (619) 286-2344
Mailing address
6699 ALVARADO RD
STE 2309
SAN DIEGO, CA 92120-5241
Phone: (619) 698-3004 Fax: (619) 698-9480
Sole Proprietor
No
Updated
Certification Date
Jun 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LARRY EMDUR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSSCAZZZ39696Z
OTHERLICENSECA20A4940
OTHERMEDI-CALCA00AX4940
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)		 CA 20A4940

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 1978
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LARRY EMDUR is affiliated with the following medical group(s):
  • HOSPITAL
    • ALVARADO HOSPITAL MEDICAL CENTER
      6655 ALVARADO ROAD
      SAN DIEGO, CA 92120
    • GROSSMONT HOSPITAL
      5555 GROSSMONT CENTER DRIVE BOX 58
      LA MESA, CA 91942
    • SHARP MEMORIAL HOSPITAL
      7901 FROST ST
      SAN DIEGO, CA 92123
  • LONG-TERM CARE HOSPITAL
    • KINDRED HOSPITAL - SAN DIEGO
      1940 EL CAJON BLVD
      SAN DIEGO, CA 92104

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