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Joseph Lara

NPI 1962068684 · on the registry since 2019

Practice

Address
1003 Koleeta Dr
Harbor City, CA 90710
Phone
(310) 245-0967

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106S00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-12
Status
Not present in the most recent federal file

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