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Dr. Larry R Fabian, OD

Optometrist in San Jose, CA. Individual provider (NPI-1).

NPI number1104880129
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1104880129
Entity type
Individual (NPI-1)
Name
Dr. Larry R Fabian
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 14, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPT 6909 TPLCAYes

Practice location

1817 Hamilton Ave
San Jose, CA 95125

Phone 408-264-1555 · Fax 408-264-1562

Mailing address

18660 Vista De Almaden
San Jose, CA 95120

Phone 408-268-7621 · Fax 408-268-7621

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