Organization
MEDICINA FAMILIAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE MANUEL GONZALEZ-DIAZ MD (OWNER)
(818) 896-2999
Entity
Organization
Contact information
Practice address
13500 VAN NUYS BLVD, PACOIMA, CA 91331
(818) 896-2999
(818) 896-8449
Mailing address
13500 VAN NUYS BLVD, PACOIMA, CA 91331-3028
(818) 896-2999
(818) 896-8449
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A41311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086101
—
CA
Enumeration date
10/04/2006
Last updated
05/22/2008
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