Dr Octavio Gonzalez, MD is a
Orthopaedic Surgery - Sports Medicine physician based in Rancho Palos Verdes, California. Dr Octavio Gonzalez is licensed to practice in California (license number A69063) and his current practice location is 29409 S Western Ave, Rancho Palos Verdes, California. He can be reached at his office (for appointments etc.) via phone at
(424) 265-8678.
NPI number for Dr Octavio Gonzalez is 1932390069 and his current mailing address is Po Box 3062, Torrance, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932390069.
Physician's Profile
| Full Name | Dr Octavio Gonzalez |
|---|
| Gender | Male |
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| Speciality | Orthopaedic Surgery - Sports Medicine |
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| Location | 29409 S Western Ave, Rancho Palos Verdes, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932390069
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 02/07/2015
Medical Identifiers
Medical identifiers for Dr Octavio Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932390069 | NPI | - | NPPES |
| HD219A | Other | | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | A69063 (California) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | N3682 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Octavio Gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Octavio Gonzalez, MD
Po Box 3062,
Torrance, CA 90510-3062
Ph: (424) 265-8678 | Dr Octavio Gonzalez, MD
29409 S Western Ave,
Rancho Palos Verdes, CA 90275-1137
Ph: (424) 265-8678 |
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