Individual
DR. JUDY A ALONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1783 EL CAMINO REAL, PATHOLOGY DEPT, BURLINGAME, CA 94010-3205
(650) 696-5611
Mailing address
383 E GRAND AVE, SUITE A, SOUTH SAN FRANCISCO, CA 94080-6234
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G79181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G791810
—
CA
01
—
G79181
CALIF MEDICAL LICENSE
CA
Enumeration date
07/24/2006
Last updated
07/08/2007
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