Provider Demographics
NPI:1215357835
Name:LUZON, AVINOAM (MD)
Entity Type:Individual
Prefix:DR
First Name:AVINOAM
Middle Name:
Last Name:LUZON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 MERCY AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340
Mailing Address - Country:US
Mailing Address - Phone:209-564-3500
Mailing Address - Fax:209-564-3531
Practice Address - Street 1:333 MERCY AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340
Practice Address - Country:US
Practice Address - Phone:209-564-3500
Practice Address - Fax:209-564-3531
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program