Gonzalez, George

Gonzalez, George is an individual health care provider with primary practice located at 275 W Herndon Ave , Clovis CA 93612-0204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gonzalez, George can be contacted via phone (559) 324-6200.

Contact Information

Primary practice address
275 W Herndon Ave Clovis CA 93612-0204
Fax: (559) 324-6280
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G55847 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G55847 California

Profile Details

NPI number 1992786487
LBN Legal business name Gonzalez, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jun 2nd, 2020 - about 4 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 1992786487 NPPES
California MEDICAID 00G558470
California Other 77040368493612B010
California Other 00G558470
California Other 110125078

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