Provider Demographics
NPI:1871728162
Name:LARIT, DEAN G (DC)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:G
Last Name:LARIT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5225 BLAKESLEE AVE APT 120
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-3240
Mailing Address - Country:US
Mailing Address - Phone:818-437-8827
Mailing Address - Fax:
Practice Address - Street 1:5257 VINELAND AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-7000
Practice Address - Country:US
Practice Address - Phone:818-437-8827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28205111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor