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Maria Susana Espino Gonzales
Physiological Laboratory in Montebello, California
NPI 1043738339

Maria Susana Espino Gonzales is a Physiological Laboratory based in Lancaster, CA. Maria Susana Espino Gonzales practices in Montebello, CA. The NPI Number for Maria Susana Espino Gonzales is 1043738339 and holds a License No. FAC00083950 (California).

The current practice location address for Maria Susana Espino Gonzales is 101 E Beverly Blvd Ste 201, Montebello, CA and can be reached out via phone at 323-722-5163. You can also correspond with Maria Susana Espino Gonzales through the mailing address at 44014 KIRKLAND AVE, LANCASTER, CA - 93535-3631 (mailing address contact number: 626-497-2773).

Location: 101 E Beverly Blvd Ste 201, Montebello, CA, 93535-3631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043738339
Provider Name
Maria Susana Espino Gonzales
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 E Beverly Blvd Ste 201, Montebello, CA, 93535-3631
Phone Number
323-722-5163
Fax Number
Provider Enumeration Date
09/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 E Beverly Blvd Ste 201
City
Montebello
State
California
Zip
90640-4315
Phone Number
323-722-5163
Fax Number
person
Provider Business Mailing Address Details
Address
101 E Beverly Blvd Ste 201
City
Montebello
State
California
Zip
90640-4315
Phone Number
323-722-5163
Fax Number
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Physiological Laboratory
Speciality
-
Taxonomy
293D00000X
License No.
()
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
FAC00083950 (California)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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