LAZARO WISNIA, M.D., INC (NPI# 1285729152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285729152 |
| Entity Type | Organization |
| Organization Name | LAZARO WISNIA, M.D., INC |
| Practice Address |
880 S Atlantic Blvd Suite 302 Monterey Park CA 91754-4700 |
| Practice Telephone | 6265768040 |
| Practice Fax Number | 6265764186 |
| Mailing Telephone | 6265768040 |
| Mailing Fax Number | 6265764186 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LAZARO G. WISNIA (MEDICAL DOCTOR/DIRECTOR) |
| Authorized Official Telephone | 6265768040 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A32074 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A320741 | 05 |
| Street Address |
880 S ATLANTIC BLVD SUITE 302 |
| City | MONTEREY PARK |
| State | CA |
| Zip Code | 91754-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088933 | Sonia Carmen Smith | Nurse Practitioner | 880 S Atlantic Blvd, Monterey Park, CA 91754-4700 | 2005-07-29 |
| 1134662182 | Rachel Ma | Dentist | 880 S Atlantic Blvd, Suite 307, Monterey Park, CA 91754-4700 | 2016-11-23 |
| 1750784591 | Tara Martinez | Physical Therapist | 880 S Atlantic Blvd, Suite 203, Monterey Park, CA 91754-4700 | 2014-10-08 |
| 1205176005 | Los Angeles Center for Orthopedics | Specialist | 880 S Atlantic Blvd, Suite 205, Monterey Park, CA 91754-4700 | 2013-02-15 |
| 1932455789 | Associated Hispanic Physicians Medical Group Inc | Clinic/Center | 880 S Atlantic Blvd, Suite 302, Monterey Park, CA 91754-4700 | 2012-07-31 |
| 1629201611 | Digestive Disease & Endoscopy Consultants | Specialist | 880 S Atlantic Blvd, G10, Monterey Park, CA 91754-4700 | 2009-08-25 |
| 1679736268 | Luk Bhava Medical Corporation | Clinic/Center | 880 S Atlantic Blvd, Suite 307, Monterey Park, CA 91754-4700 | 2008-07-03 |
| 1417159328 | Renu Tan | Dentist | 880 S Atlantic Blvd, Suite 307, Monterey Park, CA 91754-4700 | 2007-06-03 |
| 1013048461 | Gastroenterology Diagnostic Center Medical Group, A Professional | Clinic/Center | 880 S Atlantic Blvd, Suite G 10, Monterey Park, CA 91754-4700 | 2007-03-08 |
| 1629110820 | Health Care Partners, Inc. | Non-Pharmacy Dispensing Site | 880 S Atlantic Blvd, Suite101, Monterey Park, CA 91754-4700 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023670734 | New Hope Medical Center | Acupuncturist | 939 S Atlantic Blvd, Suit 107, Monterey Park, CA 91754 | 2019-07-02 |
| 1326574302 | Jo Ann Dorothy I | Chiropractor | 257 W. Pomona Blvd, Monterey Park, CA 91754 | 2017-05-11 |
| 1134575517 | Julie Riesz Desmond | Pediatrics | 2000 Longhill Dr., Monterey Park, CA 91754 | 2016-05-04 |
| 1023480902 | Exporter Associates | Durable Medical Equipment & Medical Supplies | 855 W El Repetto Dr Unit 11c, Monterey Park, CA 91754 | 2015-10-30 |
| 1366889784 | Jane Chi Fan, Mft. Inc | Marriage & Family Therapist | 941 S. Atlantic Blvd., Suite 221, Monterey Park, CA 91754 | 2013-05-24 |
| 1740597574 | Stephen Wesley Pope | Contractor | 3800 Concours, Suite 350, Ontario, CA 91754 | 2010-08-31 |
| 1447573324 | Sok-yin Leung | Pediatrics | 748 Rodman Circle, Monterey Park, CA 91754 | 2010-03-08 |
| 1568601151 | Jenny Pei Liu, D.d.s., Inc. | Dentist | 2071 S. Altantic Blvd., #f&g, Monterey Park, CA 91754 | 2009-02-05 |
| 1609027770 | Cali Ho | Occupational Therapist | 600 N. Garfield Ave., Monterey Park, CA 91754 | 2008-10-07 |
| 1588812358 | Eric A Garcia | Dentist | 1900 So Atlantic Blvd, Suite 1, Monterey Park, CA 91754 | 2008-09-04 |
| Find all providers in zip 91754 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912088162 | Felix Chi-ming Yip | Urology | 600 N Garfield Ave Ste 308, Monterey Park, CA 91754-1169 | 2006-10-17 |
| 1700899630 | Ruben Ramirez | Urology | 850 S Atlantic Blvd Ste 302, Monterey Park, CA 91754-4729 | 2006-08-14 |
| 1457641870 | Kevin Ka Yung Lee | Urology | 600 N Garfield Ave Ste 308, Monterey Park, CA 91754-1169 | 2011-04-19 |
| 1790996049 | Dominic Y. Chu, M.d., Inc. | Urology | 850 S Atlantic Blvd Ste 300, Monterey Park, CA 91754-4729 | 2007-05-25 |
| 1811059371 | Dominic Yau Wai Chu | Urology | 850 S Atlantic Blvd, #300, Monterey Park, CA 91754 | 2006-12-14 |
| 1831106525 | Li-chih Wu | Urology | 600 N Garfield Ave, Suite 204, Monterey Park, CA 91754 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
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| City | MONTEREY PARK |
| Zip Code | 91754 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.