Individual
DAVID JOHN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9089 BASELINE RD STE 100, RANCHO CUCAMONGA, CA 91730-1295
(602) 751-5919
Mailing address
9089 BASELINE RD STE 100, RANCHO CUCAMONGA, CA 91730-1295
(602) 751-5919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A12117
CA
207Q00000X
Family Medicine Physician
DO196273
OR
207Q00000X
Family Medicine Physician
OP61002767
WA
208M00000X
Hospitalist Physician
DO196273
OR
208M00000X
Hospitalist Physician
OP61002767
WA
Other
Enumeration date
01/11/2012
Last updated
03/01/2022
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