Gustavo Lara (NPI# 1639132392, PAC ID# 0547274094) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1639132392 |
| PAC ID by PECOS | 0547274094 |
| Professional Enrollment ID | I20060203000386 |
| Full Name | Gustavo Lara |
| Organization Legal Name | HARVEY NURICK M.D. INCORPORATED |
| Address |
7111 Indiana Ave Suite 100 Riverside CA 92504-4543 |
| Phone Number | 9512769012 |
| Gender | M |
| Credential | MD |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 1994 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2961426630 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050022 | RIVERSIDE COMMUNITY HOSPITAL |
| 050102 | PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7111 Indiana Ave, Suite 100, Riverside, CA 92504-4543 | 9512769012 | HARVEY NURICK M.D. INCORPORATED |
| Organization Legal Name | HARVEY NURICK M.D. INCORPORATED |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Jae Lee | General Surgery | Harvey Nurick M.d. Incorporated | 7111 Indiana Ave, Suite 100, Riverside, CA 92504-4543 |
| Harvey Arthur Nurick | General Surgery | Harvey Nurick M.d. Incorporated | 7111 Indiana Ave, Suite 100, Riverside, CA 92504-4543 |
| Iden David Andacheh | General Surgery | Harvey Nurick M.d. Incorporated | 7111 Indiana Ave, Suite 100, Riverside, CA 92504-4543 |
| Street Address |
7111 INDIANA AVE SUITE 100 |
| City | RIVERSIDE |
| State | CA |
| Zip | 92504-4543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Jae Lee | General Surgery | Harvey Nurick M.d. Incorporated | 7111 Indiana Ave, Suite 100, Riverside, CA 92504-4543 |
| Harvey Arthur Nurick | General Surgery | Harvey Nurick M.d. Incorporated | 7111 Indiana Ave, Suite 100, Riverside, CA 92504-4543 |
| Iden David Andacheh | General Surgery | Harvey Nurick M.d. Incorporated | 7111 Indiana Ave, Suite 100, Riverside, CA 92504-4543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stanley Schwartz | Internal Medicine | 7724 California Ave, Riverside, CA 92504-2509 | |
| Michael A Rodriguez | Chiropractic | 5083 Arlington Ave, Riverside, CA 92504-2638 | |
| Steven Larson | Internal Medicine | Riverside Medical Clinic Inc | 3510 Adams St, Riverside, CA 92504-3356 |
| Indrani Gill | Hematology/oncology | 7155 Magnolia Ave, Riverside, CA 92504-3803 | |
| Waseem N Ibrahim | Neurology | Riverside Neurology, Inc | 7172 Magnolia Ave, Riverside, CA 92504-3804 |
| Gina Habeeb | Physician Assistant | Riverside Neurology, Inc | 7172 Magnolia Ave, Riverside, CA 92504-3804 |
| Mary Jane Weir | Physician Assistant | Riverside Neurology, Inc | 7172 Magnolia Ave, Riverside, CA 92504-3804 |
| Jack H Akmakjian | Orthopedic Surgery | Jack H Akmakjian Md Inc | 7300 Magnolia Ave, Riverside, CA 92504-3810 |
| Kenoye R Uku | Internal Medicine | County of Riverside | 7140 Indiana Ave, Riverside, CA 92504-4544 |
| Margaret K Mcleod | Family Medicine | County of Riverside | 7140 Indiana Ave, Riverside, CA 92504-4544 |
| Find all physicians in zip 92504 | |||
| City | RIVERSIDE |
| Zip Code | 92504 |
| Specialty | GENERAL SURGERY |
| City + Specialty | RIVERSIDE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Gustavo Lara.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.