Individual
BERNADETTE BEATRICE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-8780
Mailing address
2704 W 80TH ST, INGLEWOOD, CA 90305-1409
(323) 767-4614
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA58240
CA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
02/17/2020
Last updated
08/17/2020
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