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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356408017 NPPES
California MEDICAID SD0074760

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