Lara Medical Clinic

LBN: Lara Medical Corporation
Lara Medical Clinic is an health care organization with primary practice located at 8033 Vineland Avenue Attn Fidel M. Lara Jr Md, Sun Valley CA 91352-3951. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Lara Medical Corporation can be contacted via phone (818) 767-1001, or through Lara, Fidel M. via phone (818) 767-1001.

Contact Information

Primary practice address
8033 Vineland Avenue Attn Fidel M. Lara Jr Md Sun Valley CA 91352-3951
Phone: (818) 767-1001
Fax: (818) 767-1991
Website:
Map and Directions
Authorized official contact:
Name: Lara, Fidel M. Doctor of Medicine (MD)
Phone: (818) 767-1001

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A696530 California

Profile Details

NPI number 1508924788
LBN Legal business name Lara Medical Corporation
DBA Doing business as Lara Medical Clinic
Authorized official Lara, Fidel M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Nov 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508924788 NPPES
California MEDICAID A696530

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