person
Mr. Richard Joseph Gonzales SR., PHYSICIANASSISTANT
Medical Physician Assistant in Los Angeles, California
NPI 1083626816

Richard Joseph Gonzales SR. is a Medical Physician Assistant based in Fontana, CA and is specialized in Medical. Richard Joseph Gonzales SR. practices in Los Angeles, CA and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Richard Joseph Gonzales SR. is 1083626816 and holds a License No. PA14646 (California).

The current practice location address for Richard Joseph Gonzales SR. is 1212 S Flower St, Los Angeles, CA and can be reached out via phone at 213-747-0634 and via fax at 213-747-5304.

Location: 1212 S Flower St, Los Angeles, CA, 92336-4443
person
Provider Profile Details
NPI Number
1083626816
Provider Name
Richard Joseph Gonzales SR.
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
1212 S Flower St, Los Angeles, CA, 92336-4443
Phone Number
213-747-0634
Fax Number
213-747-5304
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1212 S Flower St
City
State
Zip
90015-2123
Phone Number
213-747-0634
Fax Number
213-747-5304
person
Provider Business Mailing Address Details
Address
1212 S Flower St
City
State
Zip
90015-2123
Phone Number
213-747-0634
Fax Number
213-747-5304
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA14646 (California)
Definition
Definition to come...
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