Individual
DANIEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
255 E BONITA AVE UNIT 9, POMONA, CA 91767-1923
(909) 301-8897
Mailing address
782 OAK AVE, POMONA, CA 91766-2635
(909) 282-7779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
62444
CA
363AS0400X
Surgical Physician Assistant
Primary
62444
CA
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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