| Gonzalo Corzo, D.d.s. A Professional Corporation | |
|
875 N Western Ave Los Angeles CA 90029-3759 | |
| (323) 798-5427 | |
| (323) 798-5442 |
| Full Name | Gonzalo Corzo, D.d.s. A Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 875 N Western Ave, Los Angeles, California |
| Authorized Official Name and Position | Gonzalo Corzo (PRESIDENT/CEO) |
| Authorized Official Contact | 3237985427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzalo Corzo, D.d.s. A Professional Corporation 875 N Western Ave Los Angeles CA 90029-3759 Ph: (323) 798-5427 | Gonzalo Corzo, D.d.s. A Professional Corporation 875 N Western Ave Los Angeles CA 90029-3759 Ph: (323) 798-5427 |
| NPI Number | 1548567480 |
|---|---|
| Provider Enumeration Date | 02/11/2011 |
| Last Update Date | 05/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548567480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52366 (California) | Primary |
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