| Dr Lara Dawn Hustana, OD | |
|
9415 Campus Point Dr, La Jolla, CA 92037-1350 | |
| (858) 534-6291 | |
| (858) 822-4438 |
| Full Name | Dr Lara Dawn Hustana |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 25 Years |
| Location | 9415 Campus Point Dr, La Jolla, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235161597 | NPI | - | NPPES |
| SDO114720 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT11472T (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regents Of The University Of California | 3577476761 | 1890 |
| Provider Name | Regents Of The University Of California |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699877621 PECOS PAC ID: 3577476761 Enrollment ID: O20040219000974 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lara Dawn Hustana, OD File 57326, Los Angeles, CA 90074-0001 Ph: () - | Dr Lara Dawn Hustana, OD 9415 Campus Point Dr, La Jolla, CA 92037-1350 Ph: (858) 534-6291 |
Retina Institute Of California Medical Group, A California Medical Par Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9834 Genesee Ave Ste 428, La Jolla, CA 92037 Phone: 858-457-3010 Fax: 858-457-0028 | |
Justine Simon Bailey Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8950 Villa La Jolla Dr Ste B128, La Jolla, CA 92037 Phone: 858-453-0442 | |
Dr. Olivia Kimberly Do, OD, FAAO Optometrist Medicare: Not Enrolled in Medicare Practice Location: 702 Pearl St, Suite G, La Jolla, CA 92037 Phone: 908-938-8177 | |
Dr. Colin Rodney Bernstein, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 9834 Genesee Ave, Suite 428, La Jolla, CA 92037 Phone: 858-457-1200 Fax: 858-597-2027 | |
Retina Institute Of California Medical Group, A California Medical Par Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave Ste 310, La Jolla, CA 92037 Phone: 800-898-2020 Fax: 844-897-3788 | |
Dr. Pamela A Hoo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9415 Campus Point Dr, La Jolla, CA 92037 Phone: 858-534-6290 |