| Organization Name: | MEDICINA FAMILIAR |
| NPI Number: | 1609961648 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE MANUEL GONZALEZ-DIAZ (OWNER) |
| Mailing Address: | 13500 Van Nuys Blvd Pacoima |
| State: | CA US |
| Postal Code: | 91331 |
| Phone Number: | 8188962999 |
| Fax Number: | 8188968449 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 05/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A41311 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |