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Individual

DR. JUAN LUA GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
325 W HOSPITALITY LN, SUITE 312, SAN BERNARDINO, CA 92408-3243
(866) 205-3595
Mailing address
325 W HOSPITALITY LN, SUITE 312, SAN BERNARDINO, CA 92408-3243

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A138829
CA
2084P0800X
Psychiatry Physician
R73497
AZ

Other

Enumeration date
07/26/2012
Last updated
07/06/2016
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