Organization
GREGORY G LARA MD INC
Active
Organization
GREGORY G LARA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY G LARA MD (PRESIDENT)
(310) 991-0190
Entity
Organization
Contact information
Practice address
1420 S CENTRAL AVE, GLENDALE, CA 91204-2508
(818) 502-1900
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 204-6747
(626) 396-0851
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A69087
CA
Other
Enumeration date
12/24/2013
Last updated
12/24/2013
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