Individual
MR. MICHAEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19141 BOX CANYON RD, CORONA, CA 92881-4239
(951) 371-1733
(888) 912-7645
Mailing address
1240 E ONTARIO AVE STE 102-324, CORONA, CA 92881-8671
(951) 582-4735
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
TCP29766
CA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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