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Organization
MICHELLE GONZALES MD PC
Active
Organization
MICHELLE GONZALES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE GONZALES MD (CEO)
(760) 639-1204
Entity
Organization
Contact information
Practice address
3601 VISTA WAY, SUITE 201, OCEANSIDE, CA 92056-4559
(760) 639-1204
(760) 630-1252
Mailing address
3601 VISTA WAY, SUITE 201, OCEANSIDE, CA 92056-4559
(760) 639-1204
(760) 630-1252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A77417
CA
Other
Enumeration date
10/17/2008
Last updated
12/15/2011
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