NPI 1023161684

Enrique Jose Gonzalez, MD

Practitioner General Practice Physician Los Angeles, CA

Practice location

Address: 321 S Mednik Ave, Los Angeles, CA 90022
Phone: (323) 261-4706
Fax: (323) 261-4124
Mailing address: 321 S Mednik Ave, Los Angeles, CA 90022-1839

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence G74790 (CA)

Other General Practice providers in California →

Registry record

NPI: 1023161684
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2007
Record last updated: 5 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.