| Lara Medical Corporation | |
|
8033 Vineland Avenue Attn Fidel M. Lara Jr Md Sun Valley CA 91352-3951 | |
| (818) 767-1001 | |
| (818) 767-1991 |
| Full Name | Lara Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 8033 Vineland Avenue, Sun Valley, California |
| Authorized Official Name and Position | Fidel M. Lara (PRESIDENT CEO) |
| Authorized Official Contact | 8187671001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Medical Corporation 8033 Vineland Avenue Attn Fidel M. Lara Jr Md Sun Valley CA 91352-3951 Ph: (818) 767-1001 | Lara Medical Corporation 8033 Vineland Avenue Attn Fidel M. Lara Jr Md Sun Valley CA 91352-3951 Ph: (818) 767-1001 |
| NPI Number | 1508924788 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 11/17/2008 |
| Medicare PECOS PAC ID | 1153379086 |
|---|---|
| Medicare Enrollment ID | O20050107000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508924788 | NPI | - | NPPES |
| A696530 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A696530 (California) | Primary |
| Provider Name | Fidel M Lara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194909481 PECOS PAC ID: 4688622517 Enrollment ID: I20050110000438 |
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