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

Jacqueline Lara

Individual provider Case Manager/Care Coordinator · NPI 1629696422

Jacqueline Lara is a Case Manager/Care Coordinator in Lynwood, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

3820 Martin Luther King Jr Blvd
Lynwood, CA 90262-3625
Phone: (310) 632-0415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1629696422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2020
Last updated in NPPESJuly 8, 2020
Certification dateJuly 8, 2020
Mailing address5938 Muller St Apt A, Bell Gardens, CA 90201-6245

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