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Contact Information

MARIA SUSANA E GONZALES
101 E BEVERLY BLVD STE 201
MONTEBELLO, CA90640-4315
 Phone: 323-722-5163
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
 

Portable Xray Supplier

335V00000X 63 Portable X-Ray Supplier
Indicates primary specialty

NPI Profile & details for MARIA SUSANA E GONZALES · (Female)

NPI Number 1043738339
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2017
Last updated 08/29/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # FAC00083950
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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