Gonzalez, Juan Lua
Gonzalez, Juan Lua is an sole proprietor health care provider with primary practice located at 325 W Hospitality Ln Suite 312, San Bernardino CA 92408-3243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gonzalez, Juan Lua can be contacted via phone (866) 205-3595.Contact Information
Primary practice address
325 W Hospitality Ln Suite 312
San Bernardino CA 92408-3243
Phone: (866) 205-3595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | R73497 | Arizona |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A138829 | California |
Profile Details
| NPI number | 1013263193 |
|---|---|
| LBN Legal business name | Gonzalez, Juan Lua |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2012 |
| Last updated | Jul 6th, 2016 - about 10 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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