Gonzalez, Alejandro Lazaro
Gonzalez, Alejandro Lazaro is an sole proprietor health care provider with primary practice located at 4225 Tweedy Blvd , South Gate CA 90280-6217. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Gonzalez, Alejandro Lazaro can be contacted via phone (323) 564-6464.Contact Information
Primary practice address
4225 Tweedy Blvd
South Gate CA 90280-6217
Phone: (323) 564-6464
Fax: (562) 222-7221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20A6453 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 20A6453 | California |
Profile Details
| NPI number | 1538108097 |
|---|---|
| LBN Legal business name | Gonzalez, Alejandro Lazaro |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Mar 17th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538108097 | NPPES |
| California | MEDICAID | 00AX64530 |
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