Individual
MR. ABEL LARA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2710 N HARBOR DR, SAN DIEGO, CA 92101-1028
(619) 278-7130
(619) 278-7132
Mailing address
2710 N HARBOR DR, SAN DIEGO, CA 92101-1028
(619) 278-7130
(619) 278-7132
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B1581660
CA
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
09/11/2025
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