Individual provider · Type 1 NPI

Lazaro Gurovich Wisnia, MD

Specialist · Monterey Park, CA

NPI number 1528041001 Active

Practice location

880 S Atlantic Blvd, #302
Monterey Park, CA 91754-4700

Fax (626) 576-8079

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA32074 (CA)

Specialist: 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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About NPI 1528041001

Lazaro Gurovich Wisnia, MD's National Provider Identifier is 1528041001, issued on Nov 29, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Monterey Park, CA. The record was last updated on Jul 9, 2007.