Lara, Maria Elena

Lara, Maria Elena is an individual health care provider with primary practice located at 1776 Main Street Rand, Santa Monica CA 90407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lara, Maria Elena can be contacted via phone (310) 393-0411.

Contact Information

Primary practice address
1776 Main Street Rand Santa Monica CA 90407
Phone: (310) 393-0411
Fax: (310) 260-8175
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G072582 California

Profile Details

NPI number 1316982713
LBN Legal business name Lara, Maria Elena
Credentials M.D., M.P.H
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Feb 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316982713 NPPES
California MEDICAID GR0053510
California MEDICAID 00G725820

Popular Providers