Individual
ELVIRA SOFIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1245 16TH ST STE 125, SANTA MONICA, CA 90404-1240
(310) 315-8900
Mailing address
12550 CRENSHAW BLVD APT 218, HAWTHORNE, CA 90250-3869
(303) 995-0335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A184558
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A184558
CA
Other
Enumeration date
06/23/2020
Last updated
12/31/2024
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