Gilbert Gonzales, | |
18200 Yorba Linda Blvd, Suite 108, Yorba Linda, CA 92886-4056 | |
(714) 524-6977 | |
Not Available |
Full Name | Gilbert Gonzales |
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Gender | Male |
Speciality | Pediatrics |
Location | 18200 Yorba Linda Blvd, Yorba Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144261462 | NPI | - | NPPES |
00G705330 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G70533 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Gilbert Gonzales, 18200 Yorba Linda Blvd, Suite 401, Yorba Linda, CA 92886-4056 Ph: () - | Gilbert Gonzales, 18200 Yorba Linda Blvd, Suite 108, Yorba Linda, CA 92886-4056 Ph: (714) 524-6977 |
Lauren M Choi, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4300 Rose Dr, Yorba Linda, CA 92886 Phone: 714-577-6601 | |
Azza Ayad, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18200 Yorba Linda Blvd, Suite 108, Yorba Linda, CA 92886 Phone: 714-524-6977 | |
Dr. Christine Renee Wilson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Rose Dr, Yorba Linda, CA 92886 Phone: 714-577-6677 | |
Jerome K Wang, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4300 Rose Dr, Yorba Linda, CA 92886 Phone: 714-577-6652 Fax: 714-223-6777 | |
James Van Phan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Rose Dr, Yorba Linda, CA 92886 Phone: 714-528-4211 Fax: 714-528-3041 | |
Dr. Marienelle Banez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Rose Dr, Yorba Linda, CA 92886 Phone: 714-528-4211 Fax: 714-579-6868 |