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Organization
KASEIN GONZALEZ, MD, INC
Active
Organization
KASEIN GONZALEZ, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASEIN G GONZALEZ MD (OWNER)
(714) 602-6660
Entity
Organization
Contact information
Practice address
303 W KATELLA AVE STE 308, ORANGE, CA 92867-4790
(714) 602-6660
(714) 602-6550
Mailing address
PO BOX 2491, ORANGE, CA 92859-0491
(714) 602-6660
(714) 602-5550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A117390
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942787999
—
CA
Enumeration date
07/23/2018
Last updated
04/17/2020
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