Individual
DR. SANTIAGO R GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
513 PARNASSUS AVE # S321, SAN FRANCISCO, CA 94143-2205
(501) 352-9191
Mailing address
513 PARNASSUS AVE # S321, SAN FRANCISCO, CA 94143-2205
(501) 352-9191
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A178403
CA
208200000X
Plastic Surgery Physician
PTL5002
CA
Other
Enumeration date
04/24/2020
Last updated
07/27/2022
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