Gonzalez, Audrey Aracely

Gonzalez, Audrey Aracely is an sole proprietor health care provider with primary practice located at 947 S Anaheim Blvd Suite 240, Anaheim CA 92805-5582. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gonzalez, Audrey Aracely can be contacted via phone (714) 635-4424.

Contact Information

Primary practice address
947 S Anaheim Blvd Suite 240 Anaheim CA 92805-5582
Phone: (714) 635-4424
Fax: (714) 635-5704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 16161 California

Profile Details

NPI number 1598867657
LBN Legal business name Gonzalez, Audrey Aracely
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Nov 2nd, 2021 - about 3 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 1598867657 NPPES
California Other 00A337400 MEDI-CAL
California Other GR0058410 MEDI-CAL

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