Healthcare Provider Details

I. General information

NPI: 1245771435
Provider Name (Legal Business Name): CHRISTIAN A. GONZALEZ N.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 03/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1057 EL MONTE AVENUE, STE. B NATURAL START MEDICINE
MOUNTAIN VIEW CA
94040
US

IV. Provider business mailing address

1057 EL MONTE AVENUE, STE. B NATURAL START MEDICINE
MOUNTAIN VIEW CA
94040
US

V. Phone/Fax

Practice location:
  • Phone: 650-396-7117
  • Fax:
Mailing address:
  • Phone: 650-396-7117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND873
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: