Gonzalez, Marco A.

Gonzalez, Marco A. is an individual health care provider with primary practice located at 1400 E Palomar St , Chula Vista CA 91913-1800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gonzalez, Marco A. can be contacted via phone (858) 499-2600.

Contact Information

Primary practice address
1400 E Palomar St Chula Vista CA 91913-1800
Phone: (858) 499-2600
Fax: (619) 397-3386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A76308 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A76308 California

Profile Details

NPI number 1174636229
LBN Legal business name Gonzalez, Marco A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Dec 3rd, 2013 - about 12 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 1174636229 NPPES
California MEDICAID 00A763080

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