Individual
DR. CARINA FABIANA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 W LODI AVE STE P, LODI, CA 95242-3038
(209) 366-1990
Mailing address
3238 IVY ROSE WAY, STOCKTON, CA 95209-3774
(209) 366-3112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15609
PR
207Q00000X
Family Medicine Physician
Primary
A102039
CA
Other
Enumeration date
07/17/2006
Last updated
07/08/2010
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