Individual
OLEGARIO JAY LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
710 LAWRENCE EXPY DEPT 396, SANTA CLARA, CA 95051-5173
(408) 851-5067
Mailing address
710 LAWRENCE EXPY DEPT 396, SANTA CLARA, CA 95051-5173
(408) 851-5067
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
20A6671
CA
2085R0202X
Diagnostic Radiology Physician
Primary
OS22082
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AX66710
MEDICAL
CA
Enumeration date
07/06/2006
Last updated
11/03/2025
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