| Sanavida Vernon | |
|
987 W Vernon Ave Los Angeles CA 90037-3038 | |
| (323) 234-6300 | |
| (323) 234-0100 |
| Full Name | Sanavida Vernon |
|---|---|
| Speciality | Family Medicine |
| Location | 987 W Vernon Ave, Los Angeles, California |
| Authorized Official Name and Position | Alejandro L Gonzales (OWNER) |
| Authorized Official Contact | 6266641279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanavida Vernon 987 W Vernon Ave Los Angeles CA 90037-3038 Ph: (323) 234-6300 | Sanavida Vernon 987 W Vernon Ave Los Angeles CA 90037-3038 Ph: (323) 234-6300 |
| NPI Number | 1952686271 |
|---|---|
| Provider Enumeration Date | 10/18/2011 |
| Last Update Date | 10/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952686271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 208D00000X | General Practice | (NU) | Secondary |
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