Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A107359 | CA |
N | 111NI0900X | Internist | A107359 | CA |
Y | 207RH0002X | Hospice and Palliative Medicine | A107359 | CA |
NPI | 1114161544 |
---|---|
Provider Name | Dr. Matthew Gonzales |
First Address | Mission Hills, CA 91345-1207 |
Second Address | Mission Hills, CA 91345-1207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2009 |
Last Update Date | 11/12/2015 |