Individual
MRS. SUSAN GANZHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
850 5TH ST, GONZALES, CA 93926-9491
(831) 675-3601
Mailing address
100 WILSON RD STE 100, MONTEREY, CA 93940-7885
(831) 242-8394
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13472
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13472
PA LICENSE
CA
Enumeration date
01/12/2007
Last updated
02/25/2025
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