Doctor Name: | JAIME GONZALEZ |
NPI Number: | 1770917684 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 1441 Constitution Blvd Floor One, Suite 103 Salinas, CA - 939063100 |
Business Phone Number: | 8317554123 |
Business Fax Number: | 8317554122 |
Mailing Address: | 1615 Bunker Hill Way, Suite 140 SALINAS |
State: | CA |
Postal Code: | 939066013 |
Phone Number: | 8317961386 |
Fax Number: | 8317961388 |
NPI Enumeration Date: | 08/27/2013 |
NPI Last Update Date: | 08/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |