Individual
TIM GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
409 N PACIFIC COAST HWY, REDONDO BEACH, CA 90277-2870
(214) 269-3875
(903) 328-6568
Mailing address
409 N PACIFIC COAST HWY, REDONDO BEACH, CA 90277-2870
(214) 269-3875
(903) 328-6568
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/15/2016
Last updated
11/18/2016
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