Daniel Gonzalez, MD, MPH
Family Medicine, Sports Medicine in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1861998650
StatusActive
Last updated in NPPESSep 6, 2022
Details
- NPI
- 1861998650
- Entity type
- Individual (NPI-1)
- Name
- Daniel Gonzalez
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2018
- Certification date
- Sep 6, 2022
- Last updated
- Sep 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | A177801 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
208 Concourse Blvd # 1Santa Rosa, CA 95403-8210
Phone 707-544-3400
Mailing address
208 Concourse Blvd # 1Santa Rosa, CA 95403-8210
Phone 707-544-3400
Other practice locations
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