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Organization
JOSE MANUEL GONZALEZ-DIAZ
Active
Organization
JOSE MANUEL GONZALEZ-DIAZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MANUEL GONZALEZ-DIAZ M.D. (OWNER)
(818) 994-6177
Entity
Organization
Contact information
Practice address
20440 SHERMAN WAY, CANOGA PARK, CA 91306-3110
(818) 994-6177
(818) 994-6177
Mailing address
20440 SHERMAN WAY, CANOGA PARK, CA 91306-3110
(818) 994-6177
(818) 994-6177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A41311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086102
—
CA
Enumeration date
12/27/2006
Last updated
10/02/2008
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