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Dr. Lazaro Gurovich Wisnia, MD
Specialist in Monterey Park, California
NPI 1528041001

Lazaro Gurovich Wisnia is a Specialist based in Monterey Park, CA. Lazaro Gurovich Wisnia practices in Monterey Park, CA and has the professional credentials of MD. The NPI Number for Lazaro Gurovich Wisnia is 1528041001 and holds a License No. A32074 (California).

The current practice location address for Lazaro Gurovich Wisnia is 880 S Atlantic Blvd, Monterey Park, CA and can be reached out via phone at 626-576-8040 and via fax at 626-576-8079.

Location: 880 S Atlantic Blvd, Monterey Park, CA, 91754-4700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528041001
Provider Name
Lazaro Gurovich Wisnia
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
880 S Atlantic Blvd, Monterey Park, CA, 91754-4700
Phone Number
626-576-8040
Fax Number
626-576-8079
Provider Enumeration Date
11/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A320741 05 CA
institution
Provider Business Practice Location Address Details
Address
880 S Atlantic Blvd
City
Monterey Park
State
California
Zip
91754-4700
Phone Number
626-576-8040
Fax Number
626-576-8079
person
Provider Business Mailing Address Details
Address
880 S Atlantic Blvd
City
Monterey Park
State
California
Zip
91754-4700
Phone Number
626-576-8040
Fax Number
626-576-8079
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A32074 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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