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General NPI Number Information
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NPI Number | 1558354332
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Entity Type | Individual
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Provider Name | GUSTAVO ALEJANDRO GONZALEZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 900 CASS ST STE 103
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City | MONTEREY
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State | CA
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Zip | 93940-4544
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Country | US
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Telephone | 831-373-1291
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Fax | 831-373-0313
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Provider Business Mailing Address
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Address Line | PO BOX 211
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City | MONTEREY
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State | CA
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Zip | 93942-0211
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Country | US
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Telephone | 831-724-8000
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Fax | 831-724-3724
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G78302
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License Number State | CA
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