Gonzalez-Werner, Edith

Gonzalez-Werner, Edith is an individual health care provider with primary practice located at 47250 Washington St Ste A , La Quinta CA 92253-2105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gonzalez-Werner, Edith can be contacted via phone (760) 771-9437.

Contact Information

Primary practice address
47250 Washington St Ste A La Quinta CA 92253-2105
Fax: (760) 564-8581
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A0532670 California

Profile Details

NPI number 1699810838
LBN Legal business name Gonzalez-Werner, Edith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Sep 14th, 2012 - about 13 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 1699810838 NPPES
California MEDICAID GR0071340
California Other 330705738
California Other A53267
California Other CJ8819
California Other 00A532670
California Other ZZZ60889Z
California Other 080184034
California Other 00A532670
California Other ZZZ20534Z

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