Individual
ALEJANDRO LAZARO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4225 TWEEDY BLVD, SOUTH GATE, CA 90280-6217
(323) 564-6464
(562) 222-7221
Mailing address
4225 TWEEDY BLVD, SOUTH GATE, CA 90280-6217
(323) 564-6464
(562) 222-7221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A6453
CA
208D00000X
General Practice Physician
Primary
20A6453
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX64530
—
CA
Enumeration date
06/06/2006
Last updated
03/17/2023
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