AGUSTIN JAIME LARA

VENTURA, CA
NPI1962697219
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A97569)
Enumeration Date2007-09-10
Last Update Date2021-03-09
Business Address
Dr. AGUSTIN JAIME LARA M.D.
138 W MAIN ST STE E
VENTURA, CA 93001-2584
Phone number: 805-667-2850
Mailing Address
Dr. AGUSTIN JAIME LARA M.D.
5855 OLIVAS PARK DR STE A
VENTURA, CA 93003-7672
Phone number: 805-667-2801
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