Lara, Alex Ivan

Lara, Alex Ivan is an sole proprietor health care provider with primary practice located at 13527 Crape Myrtle Dr , Moreno Valley CA 92553-4396. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, which is considered as his primary health care specialty. Lara, Alex Ivan can be contacted via phone (951) 421-5678.

Contact Information

Primary practice address
13527 Crape Myrtle Dr Moreno Valley CA 92553-4396
Phone: (951) 421-5678
Fax: (951) 421-5678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X California

Profile Details

NPI number 1558068213
LBN Legal business name Lara, Alex Ivan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2023
Last updated Feb 13th, 2023 - about 3 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.

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