Wisnia, Lazaro Gurovich
Wisnia, Lazaro Gurovich is an sole proprietor health care provider with primary practice located at 880 S Atlantic Blvd #302, Monterey Park CA 91754-4700. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wisnia, Lazaro Gurovich can be contacted via phone (626) 576-8040.Contact Information
Primary practice address
880 S Atlantic Blvd #302
Monterey Park CA 91754-4700
Phone: (626) 576-8040
Fax: (626) 576-8079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A32074 | California |
Profile Details
| NPI number | 1528041001 |
|---|---|
| LBN Legal business name | Wisnia, Lazaro Gurovich |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528041001 | NPPES |
| California | MEDICAID | 00A320741 |
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