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JOSE MANUEL GONZALEZ-DIAZ NPI 1467517557


NPI Information

NPI: 1467517557
Provider Name: JOSE MANUEL GONZALEZ-DIAZ
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
20440 SHERMAN WAY
CANOGA PARK, CA
ZIP 91306
Phone: (818) 994-6177
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JOSE MANUEL GONZALEZ-DIAZ is a family medicine in Canoga Park, CA. The provider is 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. JOSE MANUEL GONZALEZ-DIAZ NPI is 1467517557. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

20440 SHERMAN WAY
CANOGA PARK, CA
ZIP 91306-110
Phone: (818) 994-6177
Fax: (818) 994-6177

The provider's authorized official is Jose Manuel Gonzalez-diaz .
The authorized official title is Owner and has the following contact phone number (818) 994-6177.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 10/2/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA41311CALIFORNIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D34091MEDICARE UPINCALIFORNIA
2A41311MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3GR0086102MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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