Lara Dia Mansour, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fontana, California. She went to At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa and graduated in 2020 and has 6 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Integrative Behavioral Health And Medicine Inc and her current practice location is
17234 Valley Blvd, Building A, Fontana, California. You can reach out to her office (for appointments etc.) via phone at
(833) 574-2273.
Lara Dia Mansour is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780264770.
Physician's Profile
| Full Name | Lara Dia Mansour |
|---|
| Gender | Female |
|---|
| Speciality | Psychiatry |
|---|
| Experience | 6 Years |
|---|
| Location | 17234 Valley Blvd, Fontana, California |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Lara Dia Mansour attended and graduated from At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa in 2020
NPI Data:
- NPI Number: 1780264770
- Provider Enumeration Date: 04/13/2021
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759742125
- Enrollment ID: I20250918001443
Medical Identifiers
Medical identifiers for Lara Dia Mansour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780264770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20466 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Integrative Behavioral Health And Medicine Inc | 4385021393 | 18 |
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. Lara Dia Mansour is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lara Dia Mansour, DO
17234 Valley Blvd, Building A,
Fontana, CA 92335-6720
Ph: () - | Lara Dia Mansour, DO
17234 Valley Blvd, Building A,
Fontana, CA 92335-6720
Ph: (833) 574-2273 |
Reviews and Comments