Individual
AUDREY ARACELY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
947 S ANAHEIM BLVD, SUITE 240, ANAHEIM, CA 92805-5582
(714) 635-4424
(714) 635-5704
Mailing address
1736 N OAKWOOD AVE, ANAHEIM, CA 92807-1037
(714) 779-8305
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
16161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A337400
MEDI-CAL
CA
01
—
GR0058410
MEDI-CAL
CA
Enumeration date
09/01/2006
Last updated
11/02/2021
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