MEDICARE: LARA DAVIS MA, LMFT

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	101YM0800X	Mental Health Counselor	52920	CA

General Provider Information

NPI Number	:	1568859817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARA DAVIS MA, LMFT

Provider Business Mailing Address
First Line	:	5731 LITTLER DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-1716
Country	:	US
Telephone Number	:	714-623-9753
Fax Number	:

Provider Business Practice Location Address
First Line	:	16531 BOLSA CHICA ST
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-5303
Country	:	US
Telephone Number	:	714-623-9910
Fax Number	:

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

Provider Enumeration Date	:	04/23/2015
Last Update Date	:	04/23/2015

Similar Medicare Providers

1518354653 — VAN-KHOA QUAN DDS
Practice Location Address:

6855 WARNER AVE
HUNTINGTON BEACH, CA
92647-5303

Practice Phone: 714-465-4178
Practice Fax:

1598541872 — QUAN DDS DENTAL CORPORATION
Practice Location Address:

6855 WARNER AVE
HUNTINGTON BEACH, CA
92647-5303

Practice Phone: 714-465-4178
Practice Fax:

1245109073 — TYLER VILLWOCK
Practice Location Address:

6833 WARNER AVE
HUNTINGTON BEACH, CA
92647-5303

Practice Phone: 657-300-3616
Practice Fax:

1669421889 — JOHN W JEPMA D.O.
Practice Location Address:

161 N CAUSEWAY
NEW SMYRNA BEACH, FL
32169-5303

Practice Phone: 386-424-1584
Practice Fax: 386-410-4800

1396826426 — DR. DENISE MICHELLE JONES D.C.
Practice Location Address:

3835 E 7TH ST
LONG BEACH, CA
90804-5303

Practice Phone: 562-434-5656
Practice Fax: 562-930-1308

1750462891 — DR. MICHAEL ANTHONY WOOTEN D.C.
Practice Location Address:

3835 E 7TH ST
LONG BEACH, CA
90804-5303

Practice Phone: 562-434-5656
Practice Fax: 562-930-1308

Directions to “ LARA DAVIS MA, LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.