# ROMMEL GONZALES MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275965105
- **Authorized official:** ROMMEL ANGEL GONZALES M.D. (PRESIDENT)
- **Authorized official phone:** (213) 483-3600

## Contact information

- **Practice address:** 508 S ALVARADO ST, LOS ANGELES, CA 90057-2904
- **Practice address phone:** (213) 483-3600
- **Practice address fax:** (213) 484-4555
- **Mailing address:** 508 S ALVARADO ST, LOS ANGELES, CA 90057-2904
- **Mailing address phone:** (213) 483-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VG0400X | Gynecology Physician | A122760 | CA | — |
| 207VX0000X | Obstetrics Physician | A122760 | CA | — |
| 208000000X | Pediatrics Physician | A122760 | CA | — |
| 208D00000X | General Practice Physician | A122760 | CA | Yes |

## Other

- **Enumeration date:** 08/02/2013
- **Last updated:** 06/20/2018