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MR. ABEL LARA JR.
NPI 1114064920
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since January 31, 2007
2710 N HARBOR DR, SAN DIEGO, CA 92101(619) 278-7130(619) 278-7132 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Abel Lara Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ABEL LARA JR. (NPI 1114064920) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114064920
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. ABEL LARA JR.
Location Address2710 N HARBOR DRSan Diego, CA 92101-1028
Mailing Address2710 N Harbor DrSan Diego, CA 92101-1028 · (619) 278-7130 · Fax (619) 278-7132
Phone(619) 278-7130
Fax(619) 278-7132
Sole ProprietorYes
Enumeration DateJanuary 31, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1114064920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License B1581660 (CA)
2710 N HARBOR DR, San Diego, CA 92101
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER R FLY IDHS
Technician, Other
2710 N HARBOR DR
SAN DIEGO, CA 92101
San Diego County (619) 278-7131
DOMINIQUE WIGGINS
Military Health Care Provider (Independent Duty Corpsman)
2710 N HARBOR DR
SAN DIEGO, CA 92101
San Diego County (619) 278-7134
KAYLEE ELIZABETH GARCIA PA-C
Physician Assistant
2710 N HARBOR DR
SAN DIEGO, CA 92101
San Diego County (619) 278-7035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abel Lara's NPI number?

The NPI number for Abel Lara is 1114064920. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Abel Lara located?

Abel Lara practices at 2710 N Harbor Dr, San Diego, CA 92101. The listed phone number is (619) 278-7130.

What is Abel Lara's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Abel Lara was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.