Organization
OCTAVIO GONZALEZ MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCTAVIO GONZALEZ MD (PRESIDENT)
(424) 265-8678
Entity
Organization
Contact information
Practice address
29409 S WESTERN AVE, RANCHO PALOS VERDES, CA 90275-1137
(424) 265-8678
(888) 847-2037
Mailing address
PO BOX 3062, TORRANCE, CA 90510-3062
(424) 265-8678
(888) 847-2037
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A69063
CA
Other
Enumeration date
03/14/2013
Last updated
03/13/2015
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