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

Lara Dia Mansour, DO

Individual provider Psychiatry Physician · NPI 1780264770

Lara Dia Mansour, DO is a Psychiatry in Fontana, California. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2020, 6 years ago. Practices with Integrative Behavioral Health and Medicine Inc, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

17234 Valley Blvd Bldg A
Fontana, CA 92335-6720
Phone: (833) 574-2273
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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
Psychiatry Physician Taxonomy 2084P0800X · Licence 20466 (CA)

Record details

NPI number1780264770
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 13, 2021
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address17234 Valley Blvd, Building A, Fontana, CA 92335-6720

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2020 (6 years in practice)
Group practice Integrative Behavioral Health And Medicine Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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