| Charles Gonzales Md Inc | |
|
700 E Tahquitz Canyon Way Ste 5 Palm Springs CA 92262-6765 | |
| (760) 318-4424 | |
| (760) 318-4247 |
| Full Name | Charles Gonzales Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 700 E Tahquitz Canyon Way Ste 5, Palm Springs, California |
| Authorized Official Name and Position | Charles Gonzales (OWNER) |
| Authorized Official Contact | 7603184424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Gonzales Md Inc 700 E Tahquitz Canyon Way Ste 5 Palm Springs CA 92262-6765 Ph: (760) 318-4424 | Charles Gonzales Md Inc 700 E Tahquitz Canyon Way Ste 5 Palm Springs CA 92262-6765 Ph: (760) 318-4424 |
| NPI Number | 1265998348 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 02/14/2019 |
| Medicare PECOS PAC ID | 7618219536 |
|---|---|
| Medicare Enrollment ID | O20190425000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265998348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles D Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376664037 PECOS PAC ID: 7214911742 Enrollment ID: I20040614001175 |
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