Individual
MR. MARC GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6798
(833) 574-2273
Mailing address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6798
(833) 574-2273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95065784
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002736
CA
Other
Enumeration date
07/25/2024
Last updated
10/30/2025
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