Gonzales-Nate, Carmen Protesta

Gonzales-Nate, Carmen Protesta is an sole proprietor health care provider with primary practice located at 11660 Emerald Dr , Loma Linda CA 92354-4140. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Gonzales-Nate, Carmen Protesta can be contacted via phone (909) 799-6343.

Contact Information

Primary practice address
11660 Emerald Dr Loma Linda CA 92354-4140
Fax: (909) 799-6343
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A49248 California

Profile Details

NPI number 1063578607
LBN Legal business name Gonzales-Nate, Carmen Protesta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063578607 NPPES
California MEDICAID 00A492481

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