Individual
ERIC JOHN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8670 WILSHIRE BLVD STE 202, BEVERLY HILLS, CA 90211-2930
(310) 855-0751
Mailing address
821 BILTON WAY, SAN GABRIEL, CA 91776-2312
(626) 318-6622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
20992
CA
Other
Enumeration date
06/28/2010
Last updated
07/01/2012
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