Gonzalez, Diego R
Gonzalez, Diego R is an individual health care provider with primary practice located at 1310 W Stewart Dr Ste 410 , Orange CA 92868-3855. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gonzalez, Diego R can be contacted via phone (714) 639-9401.Contact Information
Primary practice address
1310 W Stewart Dr Ste 410
Orange CA 92868-3855
Phone: (714) 639-9401
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A91803 | California |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD191215 | Oregon |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD60269944 | Washington |
Profile Details
NPI number | 1326058371 |
---|---|
LBN Legal business name | Gonzalez, Diego R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2006 |
Last updated | Jun 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326058371 | NPPES |
California | Other | A91803 | ST. LICENSE |
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