Gonzalez, Otoniel
Gonzalez, Otoniel is an sole proprietor health care provider with primary practice located at 25621 Ashby Way , Lake Forest CA 92630-6003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Gonzalez, Otoniel can be contacted via phone (949) 380-3009.Contact Information
Primary practice address
25621 Ashby Way
Lake Forest CA 92630-6003
Phone: (949) 380-3009
Fax: (949) 380-3009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP 16527 | California |
Profile Details
| NPI number | 1841426822 |
|---|---|
| LBN Legal business name | Gonzalez, Otoniel |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2009 |
| Last updated | Jun 4th, 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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