Individual
DR. MELVIN A. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S PALM CANYON DR, PALM SPRINGS, CA 92262-7303
(760) 346-0642
(760) 340-9152
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 346-0642
(760) 340-9152
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G46612
CA
207RC0000X
Cardiovascular Disease Physician
Primary
G46612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G466120
BLUE SHIELD PROV. #
CA
05
—
00G466120
—
CA
01
—
060004805
RAILROAD MEDICARE
CA
Enumeration date
06/24/2005
Last updated
04/23/2025
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