Alonso, Lazaro Victor

Alonso, Lazaro Victor is an sole proprietor health care provider with primary practice located at 15216 Vanowen St , Van Nuys CA 91405-3601. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Alonso, Lazaro Victor can be contacted via phone (818) 785-7875.

Contact Information

Primary practice address
15216 Vanowen St Van Nuys CA 91405-3601
Fax: (818) 909-7924
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1427073576
LBN Legal business name Alonso, Lazaro Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated May 23rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427073576 NPPES
California MEDICAID 00A393430

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