Organization Active NPI

Lara Edinger DO, a Medical Corporation

  • Interventional Pain Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1679020705
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
20A14194 Issued in CA
Legal business name
LARA EDINGER DO, A MEDICAL CORPORATION
Practice address
10921 Wilshire Blvd Ste 1109
Los Angeles, CA 90024-4005
Phone
(424) 273-4662
Fax
(310) 861-1358
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lara Kristin EdingerNPI 1053645887
Title
President
Phone
(424) 273-4662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 20A14194 CA
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 20A14194 CA Primary

Addresses

Primary practice location

10921 Wilshire Blvd Ste 1109
Los Angeles, CA 90024-4005

Mailing address

10921 Wilshire Blvd Ste 1109
Los Angeles, CA 90024-4005
Phone (424) 273-4662

Other identifiers 1

IdentifierTypeStateIssuer
CB266766MedicaidCA

Other names 1

  • Edinger Pain Management Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161209000813 CA Part B Supplier - Clinic/Group Practice 3274821269 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

10921 Wilshire Blvd
Ste 1109
Los Angeles, CA 90024
Phone (424) 273-4662

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1679020705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 1109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244005",
            "telephone_number": "424-273-4662",
            "fax_number": "310-861-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 1109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244005",
            "telephone_number": "424-273-4662",
            "fax_number": "310-861-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARA EDINGER DO, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "EDINGER",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "KRISTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-273-4662"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A14194",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A14194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB266766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edinger Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.