Gonzalez, Edgardo

Gonzalez, Edgardo is an individual health care provider with primary practice located at 6301 Beach Blvd Suite 101, Buena Park CA 90621-2840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gonzalez, Edgardo can be contacted via phone (714) 994-5290.

Contact Information

Primary practice address
6301 Beach Blvd Suite 101 Buena Park CA 90621-2840
Phone: (714) 994-5290
Fax: (714) 994-8090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G53693 California

Profile Details

NPI number 1366514655
LBN Legal business name Gonzalez, Edgardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jul 9th, 2007 - about 18 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 1366514655 NPPES
California MEDICAID 00G536930
California MEDICAID GR0099930

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