Adrienne E. Lara, M.D. Inc.

Organization Active NPI Obstetrics & Gynecology Physician · Oxnard, CA

NPI 1346375227 · NPPES record last updated Mar 6, 2012

Key facts

NPI
1346375227
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
ADRIENNE E. LARA, M.D. INC.
Practice address
1801 Solar Dr
Suite 150
Oxnard, CA 93030-8234
Phone
(805) 988-7577
Fax
(805) 485-0464
NPI assigned
Feb 22, 2007
Organization subpart
No

Authorized official

Name
Dr. Adrienne Elizabeth Lara, M.D.
Title
President
Phone
(805) 988-7577

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090330000293 CA Part B Supplier - Clinic/Group Practice 7517024953 Receives reassigned benefits from 1 practitioner
Practice locations: Oxnard, CA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207V00000X Yes

Addresses

Primary practice location

1801 Solar Dr
Suite 150
Oxnard, CA 93030-8234

Mailing address

1801 Solar Dr
Suite 150
Oxnard, CA 93030-8234
Phone (805) 988-7577

Other providers in Oxnard, CA

All providers in Oxnard, CA · Obstetrics & Gynecology Physician in California

Sources for this page

Verify at the official NPI Registry.