Gonzales, Richard

Gonzales, Richard is an individual health care provider with primary practice located at 8585 Knott Ave #101, Buena Park CA 90620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gonzales, Richard can be contacted via phone (714) 821-8588.

Contact Information

Primary practice address
8585 Knott Ave #101 Buena Park CA 90620
Fax: (714) 821-4482
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A72193 California

Profile Details

NPI number 1184685893
LBN Legal business name Gonzales, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1184685893 NPPES
California MEDICAID 00A721930

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