# MEDICINA FAMILIAR

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

## Provider details

- **NPI number:** 1972694180
- **Authorized official:** JOSE MANUEL GONZALEZ-DIAZ MD (OWNER)
- **Authorized official phone:** (818) 346-2395

## Contact information

- **Practice address:** 20440 SHERMAN WAY, CANOGA PARK, CA 91306
- **Practice address phone:** (818) 346-2395
- **Practice address fax:** (818) 346-4591
- **Mailing address:** 20440 SHERMAN WAY, CANOGA PARK, CA 91306
- **Mailing address phone:** (818) 346-2395
- **Mailing address fax:** (818) 346-4591

## Taxonomy

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

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 05/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR6086182 | — | CA |