Basic Information
| Provider Information | |||||||||
| NPI: | 1114964228 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LERNER | ||||||||
| FirstName: | CARLOS | ||||||||
| MiddleName: | F | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | GENERAL PEDIATRICS 12 466 MDCC | ||||||||
| Address2: | 10833 LE CONTE AVE | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900950001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3107942163 | ||||||||
| FaxNumber: | 3102064855 | ||||||||
| Practice Location | |||||||||
| Address1: | GENERAL PEDIATRICS 12 466 MDCC | ||||||||
| Address2: | 10833 LE CONTE AVE | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900950001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3107942163 | ||||||||
| FaxNumber: | 3102064855 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2006 | ||||||||
| LastUpdateDate: | 08/29/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | A98508 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.