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General NPI Number Information
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NPI Number | 1679020705
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Entity Type | Organization
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Legal Business Name | LARA EDINGER DO, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 10921 WILSHIRE BLVD STE 1109
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City | LOS ANGELES
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State | CA
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Zip | 90024-4005
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Country | US
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Telephone | 424-273-4662
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Fax | 310-861-1358
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Provider Business Mailing Address
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Address Line | 10921 WILSHIRE BLVD STE 1109
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City | LOS ANGELES
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State | CA
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Zip | 90024-4005
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Country | US
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Telephone | 424-273-4662
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Fax | 310-861-1358
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Authorized Official
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Title or Position | PRESIDENT
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Name | LARA KRISTIN EDINGER
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Credential |
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Telephone | 424-273-4662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 20A14194
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 20A14194
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License Number State | CA
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