Lara Elijah, DDS

Dentist · Mentone, CA

Individual Active NPI

NPI number 1184504805

Practice location

10275 Agate Ave
Mentone, CA 92359-1378
Phone
(619) 792-4321

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NPI record

NPI
1184504805
Entity type
Individual (Type 1)
Enumeration date
September 3, 2025
Last updated
September 3, 2025
Certified
September 3, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 112342 CA

About Dr. Elijah

Lara Elijah, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 10275 Agate Ave, Mentone, CA 92359-1378. The NPI number 1184504805 was assigned on September 3, 2025 and the record was last updated on September 3, 2025.

Dr. Elijah lists a license in the registry: #112342 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lara Elijah, DDS?

The NPI number is 1184504805.

What is the phone number of Dr. Elijah?

The phone number listed for the practice location is (619) 792-4321.

Where is Dr. Elijah located?

10275 Agate Ave, Mentone, CA 92359-1378.

What is the taxonomy code for Dr. Elijah?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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