Gonzales, Darrell Wayne

Gonzales, Darrell Wayne is an sole proprietor health care provider with primary practice located at 9850 Genesee Ave Suite 500, La Jolla CA 92037-1224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gonzales, Darrell Wayne can be contacted via phone (858) 657-0267.

Contact Information

Primary practice address
9850 Genesee Ave Suite 500 La Jolla CA 92037-1224
Phone: (858) 657-0267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A88738 California

Profile Details

NPI number 1417960188
LBN Legal business name Gonzales, Darrell Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated May 13th, 2009 - about 17 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 1417960188 NPPES
California Other A88738 MEDICAL LICENSE
California Other 1346488004 MEDICAL LICENSE

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