Gonzales, Michael Jose

Gonzales, Michael Jose is an individual health care provider with primary practice located at 4640 Admiralty Way Ste 420 , Marina Del Rey CA 90292-6617. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Gonzales, Michael Jose can be contacted via phone (424) 526-5151.

Contact Information

Primary practice address
4640 Admiralty Way Ste 420 Marina Del Rey CA 90292-6617
Phone: (424) 526-5151
Fax: (424) 835-6475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 296722 California

Profile Details

NPI number 1285296657
LBN Legal business name Gonzales, Michael Jose
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2019
Last updated Jul 5th, 2019 - about 5 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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