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LARA MEDICAL CORPORATION NPI 1508924788


NPI Information

NPI: 1508924788
Provider Name: LARA MEDICAL CORPORATION

Doing Business As: LARA MEDICAL CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D0991305

Address:
8033 VINELAND AVENUE
ATTN FIDEL M. LARA JR MD
SUN VALLEY, CA
ZIP 91352
Phone: (818) 767-1001
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LARA MEDICAL CORPORATION is an internal medicine in Sun Valley, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LARA MEDICAL CORPORATION NPI is 1508924788. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lara Medical Clinic.

The provider's business location address is:

8033 VINELAND AVENUE
ATTN FIDEL M. LARA JR MD
SUN VALLEY, CA
ZIP 91352-951
Phone: (818) 767-1001
Fax: (818) 767-1991

The provider's authorized official is Fidel M. Lara .
The authorized official title is President Ceo and has the following contact phone number (818) 767-1001.

The CLIA number assigned to this NPI record is 05D0991305 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 11/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA696530CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W18293MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2H45203MEDICARE UPINCALIFORNIA
3A696530MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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