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Organization
LAZARO V. ALONSO, M.D., A MEDICAL CORPORATION
Active
Organization
LAZARO V. ALONSO, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAZARO VICTOR ALONSO M.D. (PRESIDENT)
(818) 785-7875
Entity
Organization
Contact information
Practice address
15216 VANOWEN ST, VAN NUYS, CA 91405-3601
(818) 785-7875
(818) 909-7924
Mailing address
15216 VANOWEN ST, VAN NUYS, CA 91405-3601
(818) 785-7875
(818) 909-7924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0080100
—
CA
05
—
GROO80102
—
CA
Enumeration date
10/24/2007
Last updated
04/28/2008
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