person
Enrique Jose Gonzalez, MD
General Practice Physician in Los Angeles, California
NPI 1023161684

Enrique Jose Gonzalez is a General Practice Physician based in Los Angeles, CA. Enrique Jose Gonzalez practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Enrique Jose Gonzalez is 1023161684 and holds a License No. G74790 (California).

The current practice location address for Enrique Jose Gonzalez is 321 S Mednik Ave, Los Angeles, CA and can be reached out via phone at 323-261-4706 and via fax at 323-261-4124.

Location: 321 S Mednik Ave, Los Angeles, CA, 90022-1839
person
Provider Profile Details
NPI Number
1023161684
Provider Name
Enrique Jose Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
321 S Mednik Ave, Los Angeles, CA, 90022-1839
Phone Number
323-261-4706
Fax Number
323-261-4124
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G747490 05 CA
institution
Provider Business Practice Location Address Details
Address
321 S Mednik Ave
City
State
Zip
90022
Phone Number
323-261-4706
Fax Number
323-261-4124
person
Provider Business Mailing Address Details
Address
321 S Mednik Ave
City
State
Zip
90022
Phone Number
323-261-4706
Fax Number
323-261-4124
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
G74790 (California)
Definition
Definition to come...
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