Healthcare Provider Details

I. General information

NPI: 1518975721
Provider Name (Legal Business Name): CARLA E LAZAR D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18531 ROSCOE BLVD. SUITE 211
NORTHRIDGE CA
91324
US

IV. Provider business mailing address

18531 ROSCOE BLVD. SUITE 211
NORTHRIDGE CA
91324
US

V. Phone/Fax

Practice location:
  • Phone: 818-709-5800
  • Fax: 818-709-5802
Mailing address:
  • Phone: 818-709-5800
  • Fax: 818-709-5802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC28316
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC28136
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: