Lazaro Wisnia, M.D., Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A32074 Issued in CA

Legal business name

LAZARO WISNIA, M.D., INC

Practice address

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

Phone

(626) 576-8040

Fax

(626) 576-4186

NPI assigned

Oct 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lazaro G. Wisnia, M.DNPI 1528041001

Title

Medical Doctor/Director

Phone

(626) 576-8040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lazaro Gurovich Wisnia, M.D.

  • Specialist
  • Monterey Park, CA
  • NPI 1528041001
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285729152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 S ATLANTIC BLVD",
            "address_2": "SUITE 302",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544700",
            "telephone_number": "626-576-8040",
            "fax_number": "626-576-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S ATLANTIC BLVD",
            "address_2": "SUITE 302",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544700",
            "telephone_number": "626-576-8040",
            "fax_number": "626-576-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZARO WISNIA, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISNIA",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/DIRECTOR",
        "authorized_official_telephone_number": "626-576-8040",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A32074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A320741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmy Lau, DDS
• Marcos Kwon Yang Lau
• Suk Ying Teresa Lau, DDS
• Emily Law
• Lawrence Y Liang, Apc
• Annie Vo Le, M.D.
• Ngoc-Hanh T Le, D.C.
• Leadquest Therapy Group Inc
• Aileen Lee, PA
• Carissa Lee

• Urology Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.