| Werner Gonzalez Medical Group Inc | |
|
47250 Washington St Ste A La Quinta CA 92253-2105 | |
| (760) 771-9437 | |
| (760) 564-8581 |
| Full Name | Werner Gonzalez Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 47250 Washington St Ste A, La Quinta, California |
| Authorized Official Name and Position | Arturo Ernesto Gonzalez (OFFICE MANAGER) |
| Authorized Official Contact | 7607719437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Werner Gonzalez Medical Group Inc 47250 Washington St Ste A La Quinta CA 92253-2105 Ph: (760) 771-9437 | Werner Gonzalez Medical Group Inc 47250 Washington St Ste A La Quinta CA 92253-2105 Ph: (760) 771-9437 |
| NPI Number | 1043410707 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 05/02/2023 |
| Medicare PECOS PAC ID | 0446294383 |
|---|---|
| Medicare Enrollment ID | O20050613000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043410707 | NPI | - | NPPES |
| P00133277 | Other | CA | RAILROAD PIN # |
| CJ881 | Other | CA | RAILROAD PROV # |
| GR0071340 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Edith Gonzalez-werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699810838 PECOS PAC ID: 4789864778 Enrollment ID: I20110208000858 |
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