Gonzales, Lionel Madrid
Gonzales, Lionel Madrid is an individual health care provider with primary practice located at 1310 W Stewart Dr Suite 503, Orange CA 92868-3854. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gonzales, Lionel Madrid can be contacted via phone (714) 997-2224.Contact Information
Primary practice address
1310 W Stewart Dr Suite 503
Orange CA 92868-3854
Phone: (714) 997-2224
Fax: (714) 997-1187
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA10115 | California |
Profile Details
NPI number | 1326072950 |
---|---|
LBN Legal business name | Gonzales, Lionel Madrid |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1326072950 | NPPES |
California | Other | PA10115 | STATE LICENSE |
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