Individual
DR. BERTHA ALICIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3106 W BEVERLY BLVD, MONTEBELLO, CA 90640-2217
(323) 728-1845
Mailing address
3106 W BEVERLY, MONTEBELLO, CA 90640
(323) 728-1845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6849
MEDICAL LICENSE
CA
Enumeration date
10/04/2006
Last updated
07/08/2007
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