Individual
DR. JOSE MILTON LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4670 GAGE AVE, BELL, CA 90201-1360
(323) 562-3135
(323) 973-2553
Mailing address
4670 GAGE AVE, BELL, CA 90201-1360
(323) 562-3135
(323) 973-2553
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
00A51277
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A512770
—
CA
01
—
A51277
MEDICARE NUMBER
—
Enumeration date
02/06/2007
Last updated
11/26/2013
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