Individual
DR. DAVID GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31001 RANCHO VIEJO RD, SUITE 200, SAN JUAN CAPISTRANO, CA 92675
(949) 661-9611
Mailing address
17360 BROOKHURST ST, ATTN: MCMF - CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708-3720
(657) 241-3616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A123045
CA
Other
Enumeration date
04/05/2012
Last updated
07/08/2015
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