Individual provider · Type 1 NPI
Daniel Gonzalez, PA-C
Surgical Physician Assistant · Pomona, CA
NPI number
1144920612
Active
Practice location
255 E Bonita Ave Unit 9
Pomona, CA 91767-1923
Mailing address
782 Oak Ave
Pomona, CA 91766-2635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 62444 (CA) |
| Surgical Physician Assistant Primary | 363AS0400X | 62444 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1144920612
Daniel Gonzalez, PA-C's National Provider Identifier is 1144920612, issued on Mar 3, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pomona, CA. The record was last updated on Mar 3, 2023.