Gonzales, Lionel Madrid

Gonzales, Lionel Madrid is an individual health care provider with primary practice located at 1310 W Stewart Dr Suite 503, Orange CA 92868-3854. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gonzales, Lionel Madrid can be contacted via phone (714) 997-2224.

Contact Information

Primary practice address
1310 W Stewart Dr Suite 503 Orange CA 92868-3854
Phone: (714) 997-2224
Fax: (714) 997-1187
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10115 California

Profile Details

NPI number 1326072950
LBN Legal business name Gonzales, Lionel Madrid
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1326072950 NPPES
California Other PA10115 STATE LICENSE

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