Yulissa Lara, is a
Student In An Organized Health Care Education/training Program based in La Jolla, California. Yulissa Lara is licensed to practice in * (Not Available) (license number ) and her current practice location is
4067 Miramar St # 4812, La Jolla, California. She can be reached at her office (for appointments etc.) via phone at
(305) 731-1448.
NPI number for Yulissa Lara is 1528850054 and her current mailing address is 4067 Miramar St # 4812, La Jolla, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528850054.
Provider's Profile
| Full Name | Yulissa Lara |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 4067 Miramar St # 4812, La Jolla, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528850054
- Provider Enumeration Date: 05/20/2025
- Last Update Date: 05/20/2025
Medical Identifiers
Medical identifiers for Yulissa Lara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528850054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Yulissa Lara 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 |
|---|
Yulissa Lara,
4067 Miramar St # 4812,
La Jolla, CA 92037-1329
Ph: () - | Yulissa Lara,
4067 Miramar St # 4812,
La Jolla, CA 92037-1329
Ph: (305) 731-1448 |
Reviews and Comments