Individual provider · Type 1 NPI
Bernadette Beatrice Gonzalez, PA
Medical Physician Assistant · West Hollywood, CA
NPI number
1083247175
Active
Practice location
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Mailing address
2704 W 80th St
Inglewood, CA 90305-1409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | PA58240 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1083247175
Bernadette Beatrice Gonzalez, PA's National Provider Identifier is 1083247175, issued on Feb 17, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Hollywood, CA. The record was last updated on Aug 17, 2020.