Healthcare Provider Details

I. General information

NPI: 1841148376
Provider Name (Legal Business Name): JENNIFER LARON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2613 CAMINO RAMON STE 100
SAN RAMON CA
94583-4204
US

IV. Provider business mailing address

2613 CAMINO RAMON STE 100
SAN RAMON CA
94583-4204
US

V. Phone/Fax

Practice location:
  • Phone: 925-327-2903
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number101752
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: