Individual
DARRELL WAYNE GONZALES
Active
Individual
DARRELL WAYNE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A88738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346488004
GROUP NPI
—
01
—
A88738
MEDICAL LICENSE
CA
Enumeration date
08/14/2006
Last updated
05/13/2009
Update your record
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