Cordova - Gonzalez, Maria I

Cordova - Gonzalez, Maria I is an individual health care provider with primary practice located at 209 E 7Th St , Madera CA 93638-3780. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Cordova - Gonzalez, Maria I can be contacted via phone (559) 673-3508.

Contact Information

Primary practice address
209 E 7Th St Madera CA 93638-3780
Phone: (559) 673-3508
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A166630 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 266938 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 20819 Puerto Rico

Profile Details

NPI number 1710295423
LBN Legal business name Cordova - Gonzalez, Maria I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2010
Last updated Mar 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710295423 NPPES
Puerto Rico Other 020819 STATE LICENSE
Puerto Rico Other 266938 STATE LICENSE
Puerto Rico Other S4120 STATE LICENSE
Puerto Rico Other 2021-00445 STATE LICENSE
Puerto Rico Other ME143381 STATE LICENSE
Puerto Rico Other A166630 STATE LICENSE

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