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STEVEN ANTHONY LARA
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1497374664
Individual Registrant: STEVEN ANTHONY LARA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2000 TYLER AVE SOUTH EL MONTE, CA 91733-3543 US
Tel: 626-422-1400 Fax: --
Tel: 626-422-1400 Fax: --
Contact information for business:
2735 MEYER LN POMONA, CA 91767-7011 US
Tel: 626-485-5113 Fax: --
Tel: 626-485-5113 Fax: --
Registration Information:
NPI: 1497374664
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
