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Individual
EDITH GONZALEZ-WERNER
Active
Individual
EDITH GONZALEZ-WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A0532670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A532670
BLUE CROSS INDV ID #
CA
01
—
080184034
RAILROAD ID #
CA
01
—
330705738
BLUE CROSS GROUP ID #
CA
01
—
A53267
STATE LIC #
CA
01
—
CJ8819
RAILROAD GROUP ID #
CA
05
—
GR0071340
—
CA
01
—
ZZZ20534Z
MEDICARE GROUP ID #
CA
01
—
ZZZ60889Z
BLUE SHIELD GROUP #
CA
Enumeration date
02/21/2007
Last updated
09/14/2012
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