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Organization
PATRICK & EDIVINA GONZALES MEDICAL GROUP INC
Active
Organization
PATRICK & EDIVINA GONZALES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK D. GONZALES MEDICAL DOCTOR (PRESIDENT)
(951) 301-3588
Entity
Organization
Contact information
Practice address
29798 HAUN RD, SUITE 106, MENIFEE, CA 92586-6541
(951) 301-3588
(951) 301-4309
Mailing address
29798 HAUN RD, SUITE 106, MENIFEE, CA 92586-6541
(951) 301-3588
(951) 301-4309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A506690
CA
Other
Enumeration date
06/28/2006
Last updated
07/03/2008
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