GUSTAVO LARA

RIVERSIDE, CA
NPI1639132392
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: CA  A77165)
Enumeration Date2006-04-11
Last Update Date2018-05-24
Business Address
GUSTAVO LARA M.D.
7111 INDIANA AVE STE 100
RIVERSIDE, CA 92504
Phone number: 951-276-9012
Mailing Address
GUSTAVO LARA M.D.
7111 INDIANA AVE STE 100
RIVERSIDE, CA 92504-4557
Phone number: 951-276-9012