Individual
ALLYSON ANN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1333 OCEAN AVE, SANTA MONICA, CA 90401-1023
(310) 420-6546
(310) 394-0739
Mailing address
1333 OCEAN AVE, SANTA MONICA, CA 90401-1023
(310) 420-6546
(310) 394-0739
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G79621
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ59915Z
BLUE SHIELD OF CAILFORNIA
CA
Enumeration date
01/18/2007
Last updated
02/27/2018
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