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Contact Information

FAUSTINO M. GONZALEZ, MD PC
11811 N. TATUM BLVD
SUITE 3031
PHOENIX, AZ85028
 Phone: 602-529-6422
 Fax: 602-529-6433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for FAUSTINO M. GONZALEZ, MD PC

NPI # 1154840304
LBN Legal business name FAUSTINO M. GONZALEZ, MD PC
Authorized official FAUSTINO GONZALEZ - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2017
Last updated 09/19/2017 - About 9 years ago
Identifiers
AZ License # 23659
AZ Medicaid 1043238801
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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