Individual
DAVID GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1122 N CROWN ST, ANAHEIM, CA 92801-2025
(714) 399-1860
(714) 399-1867
Mailing address
1122 N CROWN ST, ANAHEIM, CA 92801-2025
(714) 399-1860
(714) 399-1867
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
06/26/2013
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