Individual provider · Type 1 NPI

Sofia Lydia Gonzalez Beck, PA-C

Surgical Physician Assistant · Bellevue, WA

NPI number 1962046060 Active

Practice location

11511 NE 10th St
Bellevue, WA 98004-8578

Call (831) 359-3185 Map

Mailing address

4513 Evanston Ave N Apt A
Seattle, WA 98103-6430

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA61115702 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1962046060

Sofia Lydia Gonzalez Beck, PA-C's National Provider Identifier is 1962046060, issued on Oct 31, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bellevue, WA. The record was last updated on Apr 7, 2021.