Individual
IRMA YOLANDA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
504 S SIERRA MADRE BLVD, PASADENA, CA 91107-5240
(626) 795-8811
Mailing address
504 S SIERRA MADRE BLVD, PASADENA, CA 91107-5240
(626) 795-8811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47184
CO
208000000X
Pediatrics Physician
G62810
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
G62810
CA
Other
Enumeration date
04/03/2006
Last updated
02/06/2009
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