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Organization
GUSTAVO A ALZA MD A MEDICAL CORPORATION
Active
Organization
GUSTAVO A ALZA MD A MEDICAL CORPORATION
Active
Other names
Gustavo A Alza MD A Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUSTAVO ALBERTO ALZA SR. MD (CORPORATE PRESIDENT)
(323) 259-0456
Entity
Organization
Contact information
Practice address
5224 N FIGUEROA STREET, LOS ANGELES, CA 90042-4118
(323) 259-0456
(323) 259-8486
Mailing address
5224 N FIGUEROA STREET, LOS ANGELES, CA 90042-4118
(323) 259-0456
(323) 259-8486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G48749
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G487490
—
CA
01
—
DB6615
RAILROAD MEDICARE #
CA
Enumeration date
10/20/2006
Last updated
02/27/2015
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