Organization
AXIS MEDICAL GROUP
Active
Other names
Alejandro L. Gonzalez, D.O., Inc & Hector F. Luque, D.O., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR LUQUE D.O. (PARTNER)
(323) 268-5060
Entity
Organization
Contact information
Practice address
326 N SOTO ST, LOS ANGELES, CA 90033-1815
(323) 268-5060
(323) 268-5048
Mailing address
326 N SOTO ST, LOS ANGELES, CA 90033-1815
(323) 268-5060
(323) 268-5048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A6465
CA
208D00000X
General Practice Physician
20A6453
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086320
—
CA
Enumeration date
12/11/2006
Last updated
06/12/2008
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