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Organization
SANAVIDA MEDICAL GROUP, INC.
Active
Organization
SANAVIDA MEDICAL GROUP, INC.
Active
Other names
SANAVIDA VERNON
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO L GONZALES DO (OWNER)
(626) 664-1279
Entity
Organization
Contact information
Practice address
987 W VERNON AVE, LOS ANGELES, CA 90037-3038
(323) 234-6300
(323) 234-0100
Mailing address
987 W VERNON AVE, LOS ANGELES, CA 90037-3038
(323) 234-6300
(323) 234-0100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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