Individual
DIMITRI GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
5454 EL CAJON BLVD, SAN DIEGO, CA 92115-3621
(619) 515-2400
Mailing address
5454 EL CAJON BLVD, SAN DIEGO, CA 92115-3621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
197248
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
06/04/2025
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