Doctor Name: | ROBBIN GONZALES |
NPI Number: | 1033481809 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 21887 |
Business Practice Address: | 24411 Health Center Dr Ste 350 Laguna Hills, CA - 926533651 |
Business Phone Number: | 9494577900 |
Business Fax Number: | |
Mailing Address: | 24411 Health Center Dr, Ste 350 LAGUNA HILLS |
State: | CA |
Postal Code: | 926533651 |
Phone Number: | 9494577900 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2012 |
NPI Last Update Date: | 02/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 21887 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |