Organization
LOYOLA FAMILY HEALTH CENTER PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO LAZARO GONZALEZ DO (OWNER)
(626) 664-1279
Entity
Organization
Contact information
Practice address
4225 TWEEDY BLVD, SOUTH GATE, CA 90280-6217
(323) 564-6464
(323) 564-8578
Mailing address
4225 TWEEDY BLVD STE B, SOUTH GATE, CA 90280-6217
(323) 564-6464
(323) 564-8578
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
12/01/2020
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