Individual
MR. RICHARD JOSEPH GONZALES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1212 S FLOWER ST, LOS ANGELES, CA 90015-2123
(213) 747-0634
(213) 747-5304
Mailing address
6913 LAURA ST, FONTANA, CA 92336-4443
(909) 574-2057
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14646
CA
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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