Individual
DR. ANDREA TERAN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 N 10TH ST, SANTA PAULA, CA 93060-1309
(805) 525-7171
(805) 505-2955
Mailing address
1216 VELMA MILES PL, EL PASO, TX 79912-7484
(915) 833-6920
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A91755
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A917550
—
CA
05
—
1659313534
—
CA
Enumeration date
06/12/2006
Last updated
03/26/2010
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