Individual
ELIDA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 PALMA DR STE 187, VENTURA, CA 93003-6451
(805) 222-5803
Mailing address
PO BOX 6542, SANTA MARIA, CA 93456-6542
(605) 714-7515
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA63747
CA
Other
Enumeration date
09/11/2023
Last updated
08/19/2024
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