Provider Demographics
NPI:1891839270
Name:GARDENS MEDICAL CENTER INC
Entity Type:Organization
Organization Name:GARDENS MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:
Authorized Official - Last Name:LALEZARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-927-1111
Mailing Address - Street 1:7218 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BELL GARDENS
Mailing Address - State:CA
Mailing Address - Zip Code:90201-4812
Mailing Address - Country:US
Mailing Address - Phone:562-927-1111
Mailing Address - Fax:562-927-1117
Practice Address - Street 1:7218 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:BELL GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90201-4812
Practice Address - Country:US
Practice Address - Phone:562-927-1111
Practice Address - Fax:562-927-1117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-17
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty