Gonzalo Corzo in Los Angeles - Dentist

Gonzalo Corzo - NPI 1750438925

Gonzalo Corzo is a Dentist in Los Angeles, California. Gonzalo Corzo practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gonzalo Corzo is 1750438925. The last update date is 2007-07-09.

Gonzalo Corzo's current location address is 5915 Lindenhurst Ave, Los Angeles, California. You can contact this provider via phone number 3239390184. The mailing address for Gonzalo Corzo is 5915 Lindenhurst Ave, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gonzalo Corzo
Address 5915 Lindenhurst Ave, Los Angeles, California
Phone Number 3239390184
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1750438925
Provider Enumeration Date 2007-01-03
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 5915 Lindenhurst Ave
City Los Angeles
State California (CA)
Post Code 900363218
Phone Number 3239390184
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 52366
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D52366 CA --

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FAQs about Gonzalo Corzo

What is the unique identifier code issued to Gonzalo Corzo by the Centers for Medicare & Medicaid Services?

The Gonzalo Corzo has been assigned the NPI (National Provider Identifier) 1750438925. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Gonzalo Corzo's physical address?

The Gonzalo Corzo is physically located at 5915 Lindenhurst Ave, in the city of Los Angeles, CA, with the postal code 900363218.

What is Gonzalo Corzo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gonzalo Corzo's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1750438925 to Gonzalo Corzo?

The Gonzalo Corzo received its 1750438925 assignment from the Centers for Medicare & Medicaid Services on 2007-01-03.

As of what date was the information pertaining to Gonzalo Corzo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gonzalo Corzo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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