ROMMEL GONZALES MEDICAL GROUP INC NPI 1275965105

NPI Information

ROMMEL GONZALES MEDICAL GROUP INC is a general practice in Los Angeles, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ROMMEL GONZALES MEDICAL GROUP INC NPI is 1275965105. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

508 S ALVARADO ST
LOS ANGELES, CA
ZIP 90057-904
Phone: (213) 483-3600
Fax: (213) 484-4555

The provider's authorized official is Rommel Angel Gonzales .
The authorized official title is President and has the following contact phone number (213) 483-3600.

The CLIA number assigned to this NPI record is 05D2068131 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2013 and was last updated on 6/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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