John B Gonzalez in Riverside - Sports Medicine
John B Gonzalez - NPI 1649275579
John B Gonzalez is a Sports Medicine in Riverside, California. John B Gonzalez practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for John B Gonzalez is 1649275579. The last update date is 2020-02-10.
John B Gonzalez's current location address is 4354 Latham St Ste 100, Riverside, California. You can contact this provider via phone number 9516830650 and fax number 9517744610. The mailing address for John B Gonzalez is 4354 Latham St Ste 100, Riverside, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | John B Gonzalez |
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Address | 4354 Latham St Ste 100, Riverside, California |
Phone Number | 9516830650 |
Fax Number | 9517744610 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1649275579 |
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Provider Enumeration Date | 2005-06-16 |
Last Updated Date | 2020-02-10 |
Provider Mailing Address Detail
Address | 4354 Latham St Ste 100 |
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City | Riverside |
State | California (CA) |
Post Code | 9250117770 |
Phone Number | 9516830650 |
Fax Number | 9517744610 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Xx0005X |
Licence No | G45253 |
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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What is the unique identification code assigned to John B Gonzalez by the Centers for Medicare & Medicaid Services?
The John B Gonzalez has been issued the NPI (National Provider Identifier) 1649275579. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John B Gonzalez?
The John B Gonzalez is physically situated at 4354 Latham St Ste 100, in the city of Riverside, state of CA, with the postal code 9250117770.
What is John B Gonzalez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John B Gonzalez is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Xx0005X.
On what date did the John B Gonzalez receive its 1649275579 assignment from the Centers for Medicare & Medicaid Services?
The John B Gonzalez was assigned its 1649275579 by the Centers for Medicare & Medicaid Services on 2005-06-16.
As of what date were the details pertaining to John B Gonzalez last refreshed?
The information related to the John B Gonzalez, including its address, specialty, and other relevant details, was last updated on 2020-02-10.