Clemente, Ethel Gonzales
Clemente, Ethel Gonzales is an sole proprietor health care provider with primary practice located at 3525 Pelandale Ave , Modesto CA 95356-9781. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Clemente, Ethel Gonzales can be contacted via phone (559) 572-3880.Contact Information
Primary practice address
3525 Pelandale Ave
Modesto CA 95356-9781
Phone: (559) 572-3880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 098965 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 23711 | Mississippi |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 4301114264 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | C175083 | California |
Profile Details
| NPI number | 1497986731 |
|---|---|
| LBN Legal business name | Clemente, Ethel Gonzales |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2009 |
| Last updated | Mar 8th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497986731 | NPPES |
| California | MEDICAID | 1497986731 |
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