Jose Manuel Gonzalez-Diaz

LBN: Jose Manuel Gonzalez-Diaz
Jose Manuel Gonzalez-Diaz is an health care organization with primary practice located at 20440 Sherman Way , Canoga Park CA 91306-3110. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jose Manuel Gonzalez-Diaz can be contacted via phone (818) 994-6177, or through Gonzalez-Diaz, Jose Manuel via phone (818) 994-6177.

Contact Information

Primary practice address
20440 Sherman Way Canoga Park CA 91306-3110
Phone: (818) 994-6177
Fax: (818) 994-6177
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez-Diaz, Jose Manuel Doctor of Medicine (MD)
Phone: (818) 994-6177

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A41311 California

Profile Details

NPI number 1467517557
LBN Legal business name Jose Manuel Gonzalez-Diaz
DBA Doing business as
Authorized official Gonzalez-Diaz, Jose Manuel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Oct 2nd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467517557 NPPES
California MEDICAID GR0086102

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