Elizabeth Gonzalez, NP | |
50 E Lewelling Blvd, San Lorenzo, CA 94580-1732 | |
(510) 535-4000 | |
Not Available |
Full Name | Elizabeth Gonzalez |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 50 E Lewelling Blvd, San Lorenzo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487373072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 95022188 (California) | Primary |
Entity Name | La Clinica De La Raza Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016 |
Mailing Address | Practice Location Address |
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Elizabeth Gonzalez, NP 50 E Lewelling Blvd, San Lorenzo, CA 94580-1732 Ph: () - | Elizabeth Gonzalez, NP 50 E Lewelling Blvd, San Lorenzo, CA 94580-1732 Ph: (510) 535-4000 |
Ms. Karen Gold, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 E. Lwewlling Blvd., San Lorenzo, CA 94580 Phone: 510-317-3167 Fax: 510-276-5483 | |
Andrea Banouvong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 927 Via Honda, San Lorenzo, CA 94580 Phone: 510-407-0749 | |
Ms. Develle Williams, APRN MSN FNP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16177 Hesperian Blvd Ste C, San Lorenzo, CA 94580 Phone: 510-276-5558 Fax: 510-276-5646 |