Gonzales, Robert Peter
Gonzales, Robert Peter is an sole proprietor health care provider with primary practice located at 1415 N Bristol St , Santa Ana CA 92706-3303. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gonzales, Robert Peter can be contacted via phone (714) 543-9022.Contact Information
Primary practice address
1415 N Bristol St
Santa Ana CA 92706-3303
Phone: (714) 543-9022
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 7476T | California |
Profile Details
NPI number | 1356408017 |
---|---|
LBN Legal business name | Gonzales, Robert Peter |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 2nd, 2007 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356408017 | NPPES |
California | MEDICAID | SD0074760 |
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