| Gonzales Medical Group Inc | |
|
133 Fourth Street Gonzales CA 93926 | |
| (831) 675-3601 | |
| (831) 675-3966 |
| Full Name | Gonzales Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 133 Fourth Street, Gonzales, California |
| Authorized Official Name and Position | Christine Carmen Ponzio (MEDICAL DOCTOR) |
| Authorized Official Contact | 8316753601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzales Medical Group Inc Po Box 646 133 Fourth Street Gonzales CA 93926-0646 Ph: (831) 675-3601 | Gonzales Medical Group Inc 133 Fourth Street Gonzales CA 93926 Ph: (831) 675-3601 |
| NPI Number | 1851509392 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 12/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851509392 | NPI | - | NPPES |
| 7032530 | Medicaid | CA | |
| RHM53884G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G48377 (California) | Primary |
Gonzales Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18 Fourth Street, Gonzales, CA 93926 Phone: 831-975-3124 Fax: 831-305-6400 | |
Taylor Farms Family Health & Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 Fifth Street, Gonzales, CA 93926 Phone: 831-675-3601 | |
Ocean Breeze Home Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Alta Street, Gonzales, CA 93926 Phone: 800-207-0611 Fax: 800-214-3114 |