05D2184551 CLIA NUMBER - KASEIN GONZALEZ MD INC

Laboratory Demographics

CLIA Number: 05D2184551

Facility Name: KASEIN GONZALEZ MD INC

Facility Address:
303 W KATELLA AVENUE, SUITE 308
ORANGE, CA
ZIP 92867
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Facility Phone Number: 714 602-6660

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700049459

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2184551
LAB Type	Physician Office
Facility Name	KASEIN GONZALEZ MD INC
Street	303 W KATELLA AVENUE, SUITE 308
City	ORANGE
State	CA
ZIP	92867
Phone	714 602-6660
CertificateType	4
CertificateEffectiveDate	5/21/2022
CertificateExpirationDate	5/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024