J. Manuel Gonzalez-Diaz M.d.

NPI #1083802573 in Pacoima, California

Provider Information

NPI Number
1083802573
Entity Type
Organization
Organization Name
J. Manuel Gonzalez-Diaz M.d.
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Oct 9, 2007
Last Updated
Oct 9, 2007

Practice Location

Address
13500 VAN NUYS BLVD
ZIP Code
91331-3028
Phone
(818) 896-2999

Authorized Official

Name
MS. CHRISTINE GRACE HALVERSON
Title
INSURANCE BILLING
Phone
(818) 994-6177

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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