Individual
DIEGO R GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 W STEWART DR STE 410, ORANGE, CA 92868-3855
(714) 639-9401
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-3260
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A91803
CA
207R00000X
Internal Medicine Physician
MD191215
OR
208M00000X
Hospitalist Physician
MD191215
OR
208M00000X
Hospitalist Physician
Primary
MD60269944
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A91803
ST. LICENSE
CA
Enumeration date
08/09/2006
Last updated
01/02/2025
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