Alejandro Gonzalez, PA
Student in an Organized Health Care Education/Training Program in Sacramento, CA. Individual provider (NPI-1).
NPI number1801638366
StatusActive
Last updated in NPPESJun 6, 2024
Details
- NPI
- 1801638366
- Entity type
- Individual (NPI-1)
- Name
- Alejandro Gonzalez
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2024
- Certification date
- Jun 6, 2024
- Last updated
- Jun 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
2570 48th StSacramento, CA 95817-1541
Phone 916-734-2145
Mailing address
2145 S American StStockton, CA 95206-3231
Phone 209-981-7279
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