Gonzalez-Mendez, Gustavo E.

Gonzalez-Mendez, Gustavo E. is an individual health care provider with primary practice located at 1450 Medical Center Dr. , Rohnert Park CA 94928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gonzalez-Mendez, Gustavo E. can be contacted via phone (707) 584-0672.

Contact Information

Primary practice address
1450 Medical Center Dr. Rohnert Park CA 94928
Phone: (707) 584-0672
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A44064 California

Profile Details

NPI number 1457402430
LBN Legal business name Gonzalez-Mendez, Gustavo E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 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 1457402430 NPPES
California MEDICAID 00A440640

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