# MEDICINA FAMILIAR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1609961648
- **Authorized official:** JOSE MANUEL GONZALEZ-DIAZ MD (OWNER)
- **Authorized official phone:** (818) 896-2999

## Contact information

- **Practice address:** 13500 VAN NUYS BLVD, PACOIMA, CA 91331
- **Practice address phone:** (818) 896-2999
- **Practice address fax:** (818) 896-8449
- **Mailing address:** 13500 VAN NUYS BLVD, PACOIMA, CA 91331-3028
- **Mailing address phone:** (818) 896-2999
- **Mailing address fax:** (818) 896-8449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A41311 | CA | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 05/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0086101 | — | CA |