Individual
STEPHEN LAWRENCE OHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6380 LINDENHURST AVE, LOS ANGELES, CA 90048-4730
(310) 850-9535
Mailing address
FILE #2939, LOS ANGELES, CA 90074-2939
(310) 301-8709
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G42230
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G422300
MEDICAL PPIN #
CA
Enumeration date
07/14/2006
Last updated
07/08/2007
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