Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alex Ivan Lara

Individual provider Magnetic Resonance Imaging Radiologic Technologist · NPI 1558068213

Alex Ivan Lara is a Magnetic Resonance Imaging Radiologic Technologist in Moreno Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

13527 Crape Myrtle Dr
Moreno Valley, CA 92553-4396
Phone: (951) 421-5678
Fax: (951) 421-5678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Magnetic Resonance Imaging Radiologic Technologist (primary) Taxonomy 2471M1202X (CA)

Record details

NPI number1558068213
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 13, 2023
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023
Mailing address13527 Crape Myrtle Dr, Moreno Valley, CA 92553-4396