Individual
MR. GONZALO MONTALVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3815 ATLANTIC AVE, STE 3, LONG BEACH, CA 90807-3500
(562) 426-9482
(562) 424-1743
Mailing address
3815 ATLANTIC AVE, STE 3, LONG BEACH, CA 90807-3500
(562) 426-9482
(562) 424-1743
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A40568
CA
Other
Enumeration date
06/19/2006
Last updated
01/31/2011
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