Lara, Fidel M

Lara, Fidel M is an individual health care provider with primary practice located at 8033 Vineland Avenue Lara Medical Clinic, Sun Valley CA 91352-3951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lara, Fidel M can be contacted via phone (818) 767-1001.

Contact Information

Primary practice address
8033 Vineland Avenue Lara Medical Clinic Sun Valley CA 91352-3951
Phone: (818) 767-1001
Fax: (818) 767-1991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A69653 California

Profile Details

NPI number 1194909481
LBN Legal business name Lara, Fidel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2007
Last updated Nov 17th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194909481 NPPES
California MEDICAID A696530

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