Individual provider · Type 1 NPI

Lionel Madrid Gonzales Jr., PA

Surgical Physician Assistant · Orange, CA

NPI number 1326072950 Active

Practice location

1310 W Stewart Dr, Suite 503
Orange, CA 92868-3854

Call (714) 997-2224 Map

Fax (714) 997-1187

Mailing address

1310 W. Stewart Drive, Suite 503
Orange, CA 92868-3856

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA10115 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1326072950

Lionel Madrid Gonzales Jr., PA's National Provider Identifier is 1326072950, issued on Jul 10, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orange, CA. The record was last updated on Jul 8, 2007.