MR. RODOLFO LARA JR. (NPI# 1508141623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508141623 |
Entity Type | Individual |
Full Name | MR. RODOLFO LARA JR. |
Credential | RN |
Practice Address |
11221 Van Buren Ave Los Angeles CA 90044-1333 |
Practice Telephone | 3237551385 |
Mailing Telephone | 3237551385 |
Enumeration Date | 2011-10-20 |
Last Update Date | 2011-10-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
600462 | CA | Nursing Service Providers |
Street Address |
11221 VAN BUREN AVE |
City | LOS ANGELES |
State | CA |
Zip Code | 90044-1333 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386135671 | Park Professional Dental Corp | Dentist | 600 W Manchester Ave Ste 2, Los Angeles, CA 90044 | 2018-05-23 |
1851831218 | Latisha Samantha Carter | Licensed Vocational Nurse | 521 W 97th St., Los Angeles, CA 90044 | 2017-03-06 |
1669928230 | Travel & Ground Network Inc. | Non-emergency Medical Transport (VAN) | 605 West 113 Th. Street, Los Angeles, CA 90044 | 2016-09-01 |
1295100642 | Scharp | Community/Behavioral Health | 8836 Vermont Ave, Los Angeles, CA 90044 | 2015-12-10 |
1356714851 | Euna Lee | Pharmacist | 5822 S Vermont Avenue, Los Angeles, CA 90044 | 2015-11-05 |
1518384338 | Kiniko Willingham | Social Worker | 1050 W 91st St, Los Angles, CA 90044 | 2014-03-19 |
1619211422 | Los Angeles Christian Health Centers | Clinic/Center | 8511 1/2 Vermont Street, Los Angeles, CA 90044 | 2012-11-16 |
1891047510 | Yvonne Henderson | Marriage & Family Therapist | 8730 S. Vermont Ave, Los Angeles, CA 90044 | 2012-10-04 |
1669722534 | Diana Gutierrez | Counselor | 9001 S. Vermont Ave., Los Angeles, CA 90044 | 2012-09-18 |
1720343304 | Rocio Cortez | Counselor | 90001 South Vermont Ave, Los Angeles, CA 90044 | 2012-07-10 |
Find all providers in zip 90044 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
1962064022 | Sharon Gedan | Registered Nurse | 8170 Beverly Blvd Ste 204, Los Angeles, CA 90048-4532 | 2019-06-28 |
1285156299 | Nancy Laurel Brewster | Registered Nurse | 550 S Vermont Ave Ste 701, Los Angeles, CA 90020-1912 | 2017-07-11 |
1316468622 | Diosdada Bartolo | Registered Nurse | 550 S Vermont Ave Rm 701, Los Angeles, CA 90020-1912 | 2017-06-28 |
1396110136 | Eileen Galit | Registered Nurse | 550 S Vermont Ave Fl 7, Los Angeles, CA 90020-1912 | 2015-12-04 |
1982072427 | Vlada Poutsillo | Registered Nurse | 550 S Vermont Ave Fl 601, Los Angeles, CA 90020-1912 | 2015-09-14 |
1306237045 | Leila Espanola Jimenez | Registered Nurse | 4508 Wawona St, Los Angeles, CA 90065-5231 | 2015-02-17 |
1851795587 | Michelle Paige-hilley | Registered Nurse | 4650 Sunset Blvd. Ms#53, Children's Hospital Los Angeles, Los Angeles, CA 90027-0000 | 2014-10-09 |
1780995233 | Anna Samsanovich | Registered Nurse | 1701 Camino Palmero, Los Angeles, CA 90046 | 2010-06-30 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90044 |
Please comment or provide details below to improve the information on MR. RODOLFO LARA JR..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.