Lorenzo E Tizon MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A40185 Issued in CA

Legal business name

LORENZO E TIZON MD

Practice address

433 N 4TH St
Suite 209
Montebello, CA 90640-4311

Phone

(323) 877-3256

NPI assigned

Oct 22, 2012

Last updated

Oct 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lorenzo Tizon, MD

Title

Owner

Phone

(323) 877-3756

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1316290794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST",
            "address_2": "SUITE 209",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404311",
            "telephone_number": "323-877-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST",
            "address_2": "SUITE 209",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404311",
            "telephone_number": "323-877-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORENZO E TIZON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "TIZON",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-877-3756",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A40185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAL MB",
            "identifier": "A40185",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.