Individual provider · Type 1 NPI
Tim Gonzalez, CNIM
Electroneurodiagnostic Specialist/Technologist · Redondo Beach, CA
NPI number
1629510128
Active
Practice location
409 N Pacific Coast Hwy
Redondo Beach, CA 90277-2870
Fax (903) 328-6568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
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About NPI 1629510128
Tim Gonzalez, CNIM's National Provider Identifier is 1629510128, issued on Nov 15, 2016. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Redondo Beach, CA. The record was last updated on Nov 18, 2016.