Individual provider · Type 1 NPI

Guadalupe Gamboa Gonzalez, PA-C

Surgical Physician Assistant · Los Angeles, CA

NPI number 1700929650 Active

Practice location

1200 N State St, Room 3000
Los Angeles, CA 90033-1029

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA13264 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1700929650

Guadalupe Gamboa Gonzalez, PA-C's National Provider Identifier is 1700929650, issued on Feb 14, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 11, 2015.