| Alejandro Lazaro Gonzalez, | |
|
4225 Tweedy Blvd, South Gate, CA 90280-6217 | |
| (323) 564-6464 | |
| (562) 222-7221 |
| Full Name | Alejandro Lazaro Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 4225 Tweedy Blvd, South Gate, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538108097 | NPI | - | NPPES |
| 00AX64530 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A6453 (California) | Secondary |
| 208D00000X | General Practice | 20A6453 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Care 1st Health Services | Sherman oaks, CA | Home health agency |
| Entity Name | Optimum Medical Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649354366 PECOS PAC ID: 4880622158 Enrollment ID: O20050728000242 |
| Entity Name | Loyola Family Health Center Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760947451 PECOS PAC ID: 3072925023 Enrollment ID: O20201215002536 |
| Mailing Address | Practice Location Address |
|---|---|
| Alejandro Lazaro Gonzalez, 4225 Tweedy Blvd, South Gate, CA 90280-6217 Ph: (323) 564-6464 | Alejandro Lazaro Gonzalez, 4225 Tweedy Blvd, South Gate, CA 90280-6217 Ph: (323) 564-6464 |
Juan Antonio Valadez, DO General Practice Medicare: May Accept Medicare Assignments Practice Location: 8627 Atlantic Ave, South Gate, CA 90280 Phone: 323-312-2605 | |
Dr. Celerina De Borja Medina, General Practice Medicare: Not Enrolled in Medicare Practice Location: 4149 Tweedy Boulevard, Ste B, South Gate, CA 90280 Phone: 323-564-4545 Fax: 323-564-3063 | |
Vijay Gyan, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 9845 San Vincente Ave., Apt. 8, South Gate, CA 90280 Phone: 323-479-2422 Fax: 323-111-1111 | |
Mr. Taishine Wang, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2713 Santa Ana Street, South Gate, CA 90280 Phone: 323-587-7275 Fax: 323-587-9162 | |
Dr. Daniel Enayati, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3175 E. Firestone Blvd, South Gate, CA 90280 Phone: 323-567-8910 Fax: 323-567-8953 |