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Contact Information

JOSE MANUEL GONZALEZ DIAZ, MD
13500 VAN NUYS BLVD
PACOIMA, CA91331
 Phone: 818-896-2999
 Fax: 818-896-8449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for JOSE MANUEL GONZALEZ DIAZ · (Male)

NPI Number 1205927415
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A41311
  • CA Medicaid GR0086101
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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