Lara, Mathew

Lara, Mathew is an individual health care provider with primary practice located at 1801 Park Court Pl Bldg H , Santa Ana CA 92701-5028. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lara, Mathew can be contacted via phone (714) 957-1004.

Contact Information

Primary practice address
1801 Park Court Pl Bldg H Santa Ana CA 92701-5028
Phone: (714) 957-1004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 90062 California
Behavioral Health & Social Service Providers / Social Worker 104100000X 90062 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 109824 California

Profile Details

NPI number 1821342056
LBN Legal business name Lara, Mathew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2012
Last updated Jan 9th, 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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