Organization
CENTER FOR ADVANCED PULMONARY MEDICINE
Active
Organization
CENTER FOR ADVANCED PULMONARY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEARNED R GONZALES M.D. (PRESIDENT)
(562) 208-2429
Entity
Organization
Contact information
Practice address
71511 HIGHWAY 111, STE J, RANCHO MIRAGE, CA 92270-4465
(760) 674-9800
(760) 674-9807
Mailing address
18 CORNELL DR, RANCHO MIRAGE, CA 92270-3630
(562) 208-2429
(760) 674-9807
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A76930
CA
207RP1001X
Pulmonary Disease Physician
Primary
A76930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A76930
—
CA
Enumeration date
11/21/2007
Last updated
06/21/2018
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