Individual
EDGAR AVILEZ LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22728 HARVARD BLVD APT 30, TORRANCE, CA 90501-4932
(310) 869-9821
Mailing address
22728 HARVARD BLVD APT 30, TORRANCE, CA 90501-4932
(310) 869-9821
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/30/2024
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