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Lara South, PHD

NPI 1851652655 · on the registry since 2012 · sole proprietor

Practice

Address
3553 Atlantic Ave Ste B
1154
Long Beach, CA 90807
Phone
(424) 470-7768
Clinicians at this address
5

Additional practice sites

  • 5201 Great America Pkwy Ste 320, Santa Clara, CA

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TC0700X
Licence states on file
NY, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California