Lara Medical Clinic | |
8033 Vineland Avenue Attn Fidel M. Lara Jr Md Sun Valley CA 91352-3951 | |
(818) 767-1001 | |
(818) 767-1991 |
Full Name | Lara Medical Clinic |
---|---|
Speciality | Internal Medicine |
Location | 8033 Vineland Avenue, Sun Valley, California |
Authorized Official Name and Position | Fidel M. Lara (PRESIDENT CEO) |
Authorized Official Contact | 8187671001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lara Medical Clinic 8033 Vineland Avenue Attn Fidel M. Lara Jr Md Sun Valley CA 91352-3951 Ph: (818) 767-1001 | Lara Medical Clinic 8033 Vineland Avenue Attn Fidel M. Lara Jr Md Sun Valley CA 91352-3951 Ph: (818) 767-1001 |
NPI Number | 1508924788 |
---|---|
Provider Enumeration Date | 12/04/2006 |
Last Update Date | 11/17/2008 |
Medicare PECOS PAC ID | 1153379086 |
---|---|
Medicare Enrollment ID | O20050107000330 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508924788 | NPI | - | NPPES |
A696530 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A696530 (California) | Primary |
Provider Name | Fidel M Lara |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194909481 PECOS PAC ID: 4688622517 Enrollment ID: I20050110000438 |
Boydar Md Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8730 Glenoaks Blvd, Sun Valley, CA 91352 Phone: 818-960-7171 Fax: 818-960-7177 | |
Sunrise Med Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8133 San Fernando Rd Ste B1, Sun Valley, CA 91352 Phone: 818-208-1077 Fax: 818-279-0816 | |
Serra Community Medical Clinic- Sunland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8426 Sunland Blvd, Sun Valley, CA 91352 Phone: 818-504-4526 Fax: 818-504-4690 | |
Family Care Md Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8730 Glenoaks Blvd, Sun Valley, CA 91352 Phone: 818-960-7171 Fax: 818-960-7177 | |
Medlink Prestige Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8730 Glenoaks Blvd # 4, Sun Valley, CA 91352 Phone: 818-960-7171 Fax: 818-960-7177 | |
Joon Choi Md A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8100 Sunland Blvd, Sun Valley, CA 91352 Phone: 818-242-6811 | |
Elevate Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8426 Sunland Blvd, Sun Valley, CA 91352 Phone: 818-504-4514 Fax: 747-245-1096 |