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NPI Code Detail

MEDICARE: LARISSA KALIFE MD

MEDICARE:   LARISSA  KALIFE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA67077CA

General Provider Information

NPI Number : 1659466316
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARISSA KALIFE MD
Provider Business Mailing Address
First Line : 18040 SHERMAN WAY STE 210
Second Line :
City : RESEDA
State : CA
Zip : 91335-4656
Country : US
Telephone Number : 424-421-6001
Fax Number : 818-239-4239
Provider Business Practice Location Address
First Line : 18040 SHERMAN WAY STE 210
Second Line :
City : RESEDA
State : CA
Zip : 91335-4656
Country : US
Telephone Number : 424-421-6001
Fax Number : 818-239-4239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 03/11/2026

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Directions to “ LARISSA KALIFE MD” Practice Location

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