Individual provider · Type 1 NPI

Michael Lara

Student in an Organized Health Care Education/Training Program · Indio, CA

NPI number 1356298657 Active

Practice location

47915 Oasis St
Indio, CA 92201-6950

Call (760) 863-8650 Map

Mailing address

69145 San Susanna Ave
Cathedral City, CA 92234-3252

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356298657

Michael Lara's National Provider Identifier is 1356298657, issued on Mar 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indio, CA. The record was last updated on Mar 16, 2026.