Gonzalez, Rene

Gonzalez, Rene is an individual health care provider with primary practice located at 11333 Sepulveda Blvd , Mission Hills CA 91345-1116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gonzalez, Rene can be contacted via phone (818) 837-5730.

Contact Information

Primary practice address
11333 Sepulveda Blvd Mission Hills CA 91345-1116
Fax: (818) 837-5783
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A96013 California

Profile Details

NPI number 1578660346
LBN Legal business name Gonzalez, Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 13th, 2021 - 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 1578660346 NPPES
California MEDICAID 00A960130

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