DR. GEORGE ALEX LAZO JR. (NPI# 1679074280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679074280 |
| Entity Type | Individual |
| Full Name | DR. GEORGE ALEX LAZO JR. |
| Credential | PSYD |
| Practice Address |
3351 El Camino Real Suite 100 Atherton CA 94027 |
| Mailing Address |
1750 Meridian Ave Unit 6483 San Jose CA 95150-2087 |
| Practice Telephone | 6503622500 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
29901 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3351 EL CAMINO REAL SUITE 100 |
| City | ATHERTON |
| State | CA |
| Zip Code | 94027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821182973 | Winston Canute Vaughan | Specialist | 3351 El Camino Real, Ste 200, Atherton, CA 94027-3811 | 2006-10-03 |
| 1316291867 | Pacific Endoscopy LLC | Clinic/Center | 3351 El Camino Real, Ste 220, Atherton, CA 94027-3811 | 2012-11-06 |
| 1922366186 | Gardner Family Health Network Inc | Clinic/Center | 3351 El Camino Real, Suite 100, Atherton, CA 94027-3811 | 2012-04-25 |
| 1992095830 | Andrew Tomlinson | Otolaryngology | 3351 El Camino Real, Suite 200, Atherton, CA 94027-3811 | 2011-04-12 |
| 1922255421 | Amir Reza Ghorbani | Dentist | 3351 El Camino Real, #222, Atherton, CA 94027-3811 | 2008-08-26 |
| 1225295694 | Kathleen Marie Low | Nurse Practitioner | 3351 El Camino Real, Ste 200, Atherton, CA 94027-3811 | 2008-05-21 |
| 1295904852 | Christina Nicole Walker | Registered Nurse | 3351 El Camino Real, Atherton, CA 94027-3811 | 2008-02-27 |
| 1922291160 | Jane S. Weston, M.d., Medical Corporation | Plastic Surgery | 3351 El Camino Real, Suite 201, Atherton, CA 94027-3811 | 2007-08-21 |
| 1770781791 | Umang Mehta | Otolaryngology | 3351 El Camino Real, Suite 201, Atherton, CA 94027-3811 | 2007-07-11 |
| 1104038272 | Evan Martin Bloch | Specialist | 3351 El Camino Real, Ste 101, Atherton, CA 94027-3802 | 2007-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992078984 | David Shen Dental Corp | Dentist | 3351 El Camino Real #222, Atherton, CA 94027 | 2012-02-22 |
| 1730442054 | Maria Esther Rivera | Pediatrics | 3351 El Camino Real Ste 100, Atherton, CA 94027 | 2012-06-21 |
| 1760584650 | Seyed Babak Mostaan | Dentist | 3301 El Camino Real, Ste 280, Atherton, CA 94027 | 2006-09-02 |
| 1912019464 | Nazila Doroodian | Dentist | 3301 El Camino Real, Ste 280, Atherton, CA 94027 | 2006-08-31 |
| 1053616136 | Virginia Marguerite Anderson | Psychologist | 19 Irving Ave, Atherton, CA 94027-2007 | 2011-01-20 |
| 1366457293 | Fatima Tehranchi | Internal Medicine | 37 Irving Ave, Atherton, CA 94027-2007 | 2006-07-29 |
| 1376645200 | Cyrus S. Safai | Radiology | 37 Irving Ave, Atherton, CA 94027-2007 | 2006-09-01 |
| 1679926224 | Robyn Comfort | Contractor | 84 James Ave, Atherton, CA 94027-2058 | 2016-07-19 |
| 1447654348 | Benjamin Aaron Halpren | Specialist | 168 Catalpa Dr, Atherton, CA 94027-2104 | 2014-10-21 |
| 1558508150 | Sarahmarie Theresa Vargas | Registered Nurse | 199 Oak Grove Ave, Atherton, CA 94027-3217 | 2009-01-19 |
| Find all providers in zip 94027 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
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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.