Gregory G Lara Md Inc

NPI 1013338755 - Anesthesiology - 207L00000X

NPI Details
NPI 1013338755
Enumeration Date 12/24/2013
Last Updated 12/24/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GREGORY G GREGORY
Position PRESIDENT
Phone (818) 502-1900
Fax
Practice Location
1420 S CENTRAL AVE
GLENDALE CA, 91204-2508, US
Phone (818) 502-1900
Fax
Business Location
PO BOX 60790
PASADENA CA, 91116-6790, US
Phone (626) 204-6747
Fax (626) 396-0851
Toxanomy
Taxonomy Code 207L00000X
License State California
License Number A69087
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According to our database, Gregory G Lara Md Inc NPI is 1013338755, taxonomy code is 207L00000X and license number is A69087, license state is located at California. Gregory G Lara Md Inc physically located at 1420 S Central Ave, Glendale CA, 91204-2508. NPI Number 1033115704 has the healthcare provider type.

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1013338755 NPI number is provided on an as is basis without warranty of any kind. 1013338755 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory G Lara Md Inc are for informational purposes only.