Larry Besong

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

12035 Issued in CA

Practice address

22285 Roundup Dr
Walnut, CA 91789

Phone

(909) 973-7617

NPI assigned

Sep 13, 2018

Last updated

Sep 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1003399106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 ROUNDUP DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891487",
            "telephone_number": "909-973-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 ROUNDUP DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "909-973-7617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22285 roundup dr",
            "address_purpose": "LOCATION",
            "city": "walnut",
            "state": "CA",
            "postal_code": "91789",
            "country_code": "US",
            "telephone_number": "909-973-7617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22285 roundup dr",
            "address_purpose": "LOCATION",
            "city": "walnut",
            "state": "CA",
            "postal_code": "91789",
            "country_code": "US",
            "telephone_number": "909-973-7617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BESONG",
        "first_name": "LARRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "12035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Respiratory Therapist in Walnut, CA
• Providers in Walnut, CA by specialty
• Registered Respiratory Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.