Loyola Wellness Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LOYOLA WELLNESS CENTER

Practice address

4227 Tweedy Blvd
South Gate, CA 90280

Phone

(323) 564-6464

Fax

(323) 576-8786

NPI assigned

Oct 15, 2025

Organization subpart

No

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

Authorized official

Name

Alejandro Lazaro Gonzalez, DO

Title

Ceo

Phone

(626) 664-1279

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1699641746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806217",
            "telephone_number": "323-564-6464",
            "fax_number": "323-576-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "90280",
            "telephone_number": "323-564-6464",
            "fax_number": "323-576-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYOLA WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "LAZARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-664-1279",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Los Reyes Clinica Medica, Inc.
• Los Reyes Medical Clinic, Inc
• Stanley Lowe, D.P.M.
• Loyola Family Health Center Professional Corporation
• Loyola Medical Center a Professional Corporation
• Luis Moran DDS a Dental Corporation
• Modesto Luis, DDS
• Lulu L. Chen, MD Inc.
• Jay Lutsky, DMD
• M Zarrabi Medical Corporation

• General Practice Physician in South Gate, CA
• Providers in South Gate, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.