Los Alamos

LBN: Gonzalo A Diaz
Los Alamos is an health care organization with primary practice located at 3917 West Rd , Los Alamos NM 87544-2275. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as the primary health care specialty. Gonzalo A Diaz can be contacted via phone (915) 779-7378, or through Diaz, Gonzalo A via phone (915) 779-7378.

Contact Information

Primary practice address
3917 West Rd Los Alamos NM 87544-2275
Phone: (915) 779-7378
Fax: (915) 779-2822
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Gonzalo A Doctor of Medicine (MD)
Phone: (915) 779-7378

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X

Profile Details

NPI number 1366089237
LBN Legal business name Gonzalo A Diaz
DBA Doing business as Los Alamos
Authorized official Diaz, Gonzalo A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 10th, 2019
Last updated Dec 20th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366089237 NPPES
New Mexico MEDICAID 79570054

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