GREGORY G LARA MD INC
Anesthesiologist Assistant at Central Ave, Glendale, CA

License number
California A69087
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: DR. GREGORY G LARA MD
Title: PRESIDENT
Phone: (310) 991-0190
Address
Address 2
1420 S Central Ave, Glendale, CA 91204
PO Box 60790, Pasadena, CA 91116
National Provider ID: 1013338755
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GREGORY G. LARA, M.D., INC

838 Calle Ln Primavera, Glendale, CA 91208

Industry:
Medical Doctor's Office
Registration:
Oct 6, 2004
State ID:
C2689103
Business type:
Articles of Incorporation
President:
Gregory G. Lara (President)

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