Individual
CASIMIRO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4566 FLORENCE AVE, #3, CUDAHY, CA 90201-4345
(323) 562-0055
Mailing address
4566 FLORENCE AVE, SUITE 3, CUDAHY, CA 90201-4345
(323) 562-0055
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A66511
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A665111
—
CA
01
—
A66511
LICENSE NUMBER
CA
Enumeration date
09/16/2006
Last updated
06/09/2014
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