Individual
RICARDO ORLANDO GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1127 13TH ST, MODESTO, CA 95354-0907
(209) 558-7454
Mailing address
2200 STANDIFORD AVE APT 109, MODESTO, CA 95350-6548
(209) 530-0512
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G59521
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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