Individual
LESLIE MERCEDES GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3771 KATELLA, SUITE 110, LOS ALAMITOS, CA 90720-4013
(562) 296-5232
(562) 296-8379
Mailing address
3771 KATELLA AVE, SUITE 110, LOS ALAMITOS, CA 90720-3108
(562) 296-5232
(562) 296-8379
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
A76307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A763070
—
CA
01
—
204322257
TAX ID
CA
Enumeration date
08/25/2006
Last updated
01/27/2011
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