Dr Lara Elijah, DDS is a
Dentist based in Mentone, California. Dr Lara Elijah is licensed to practice in California (license number 112342) and her current practice location is
10275 Agate Ave, Mentone, California. She can be reached at her office (for appointments etc.) via phone at
(619) 792-4321.
NPI number for Dr Lara Elijah is 1184504805 and her current mailing address is 10275 Agate Ave, Mentone, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184504805.
Healthcare Provider's Profile
Full Name | Dr Lara Elijah |
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Gender | Female |
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Speciality | Dentist |
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Location | 10275 Agate Ave, Mentone, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184504805
- Provider Enumeration Date: 09/03/2025
- Last Update Date: 09/03/2025
Medical Identifiers
Medical identifiers for Dr Lara Elijah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184504805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 112342 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lara Elijah is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lara Elijah, DDS 10275 Agate Ave, Mentone, CA 92359-1378 Ph: () - | Dr Lara Elijah, DDS 10275 Agate Ave, Mentone, CA 92359-1378 Ph: (619) 792-4321 |
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