| Lazaro V. Alonso, M.d., A Medical Corporation | |
|
15216 Vanowen St Van Nuys CA 91405-3601 | |
| (818) 785-7875 | |
| (818) 909-7924 |
| Full Name | Lazaro V. Alonso, M.d., A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 15216 Vanowen St, Van Nuys, California |
| Authorized Official Name and Position | Lazaro Victor Alonso (PRESIDENT) |
| Authorized Official Contact | 8187857875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazaro V. Alonso, M.d., A Medical Corporation 15216 Vanowen St Van Nuys CA 91405-3601 Ph: (818) 785-7875 | Lazaro V. Alonso, M.d., A Medical Corporation 15216 Vanowen St Van Nuys CA 91405-3601 Ph: (818) 785-7875 |
| NPI Number | 1700065901 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700065901 | NPI | - | NPPES |
| GR0080100 | Medicaid | CA | |
| GROO80102 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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