Individual
MR. MICHAEL JAMES GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
23929 MCBEAN PKWY STE 205, SANTA CLARITA, CA 91355-4468
(661) 600-1740
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(661) 600-1740
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA55680
CA
Other
Enumeration date
06/04/2018
Last updated
11/21/2022
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