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

Lara Acedillo

Individual provider Athletic Trainer · NPI 1720475577

Lara Acedillo is an Athletic Trainer in Millbrae, California. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

165 Del Centro
Millbrae, CA 94030-2162
Phone: (650) 302-4473
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1720475577
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2015
Last updated in NPPESApril 20, 2015
Mailing address165 Del Centro, Millbrae, CA 94030-2162