Individual
DR. AGUSTIN JAIME LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
138 W MAIN ST STE E, VENTURA, CA 93001-2584
(805) 667-2850
Mailing address
5855 OLIVAS PARK DR STE A, VENTURA, CA 93003-7672
(805) 667-2801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A97569
CA
Other
Enumeration date
09/10/2007
Last updated
03/09/2021
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