Mathew Lara, is a
Social Worker - Clinical based in Santa Ana, California. Mathew Lara is licensed to practice in California (license number 109824) and his current practice location is
1801 Park Court Pl Bldg H, Santa Ana, California. He can be reached at his office (for appointments etc.) via phone at
(714) 957-1004.
NPI number for Mathew Lara is 1821342056 and his current mailing address is 1801 Park Court Pl Bldg H, Santa Ana, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821342056.
Healthcare Provider's Profile
| Full Name | Mathew Lara |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1801 Park Court Pl Bldg H, Santa Ana, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1821342056
- Provider Enumeration Date: 11/09/2012
- Last Update Date: 01/09/2023
Medical Identifiers
Medical identifiers for Mathew Lara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821342056 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 90062 (California) | Secondary |
| 104100000X | Social Worker | 90062 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 109824 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mathew Lara is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mathew Lara,
1801 Park Court Pl Bldg H,
Santa Ana, CA 92701-5028
Ph: (714) 957-1004 | Mathew Lara,
1801 Park Court Pl Bldg H,
Santa Ana, CA 92701-5028
Ph: (714) 957-1004 |
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