# LOYOLA WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699641746
- **Authorized official:** ALEJANDRO LAZARO GONZALEZ DO (CEO)
- **Authorized official phone:** (626) 664-1279

## Contact information

- **Practice address:** 4227 TWEEDY BLVD, SOUTH GATE, CA 90280
- **Practice address phone:** (323) 564-6464
- **Practice address fax:** (323) 576-8786
- **Mailing address:** 4225 TWEEDY BLVD, SOUTH GATE, CA 90280-6217
- **Mailing address phone:** (323) 564-6464
- **Mailing address fax:** (323) 576-8786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2025
- **Last updated:** 10/15/2025