Organization
MEDICINA FAMILIAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE MANUEL GONZALEZ-DIAZ MD (OWNER)
(818) 346-2395
Entity
Organization
Contact information
Practice address
20440 SHERMAN WAY, CANOGA PARK, CA 91306
(818) 346-2395
(818) 346-4591
Mailing address
20440 SHERMAN WAY, CANOGA PARK, CA 91306
(818) 346-2395
(818) 346-4591
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A41311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR6086182
—
CA
Enumeration date
09/27/2006
Last updated
05/21/2008
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