Gonzales, Mary Eppie Porciuncula
Gonzales, Mary Eppie Porciuncula is an individual health care provider with primary practice located at 17150 Norwalk Blvd Ste 104 , Cerritos CA 90703-2751. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gonzales, Mary Eppie Porciuncula can be contacted via phone (562) 474-1605.Contact Information
Primary practice address
17150 Norwalk Blvd Ste 104
Cerritos CA 90703-2751
Phone: (562) 474-1605
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A90912 | California |
Profile Details
| NPI number | 1649231739 |
|---|---|
| LBN Legal business name | Gonzales, Mary Eppie Porciuncula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jun 1st, 2020 - 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.
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