Individual
ROBERTO A GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
274 E ROWLAND ST, SUITE G, COVINA, CA 91723-3185
(626) 966-5422
(626) 966-5722
Mailing address
274 E ROWLAND ST, SUITE G, COVINA, CA 91723-3185
(626) 966-5422
(626) 966-5722
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN01048F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01048F
—
CA
Enumeration date
01/05/2007
Last updated
07/09/2007
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