MEDICARE: CECILIA LARA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	125798	CA

General Provider Information

NPI Number	:	1548744931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILIA LARA

Provider Business Mailing Address
First Line	:	16911 BELLFLOWER BLVD
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-5903
Country	:	US
Telephone Number	:	562-866-8956
Fax Number	:

Provider Business Practice Location Address
First Line	:	16911 BELLFLOWER BLVD
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-5903
Country	:	US
Telephone Number	:	562-866-8956
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2018
Last Update Date	:	10/29/2024

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Directions to “ CECILIA LARA ” Practice Location

Language	Start Address	Practice Location

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