Robert Mauricio Gonzalez, O.D.

NPI #1295003614 in San Diego Ca, California

Provider Information

NPI Number: 1295003614
Entity Type: Individual
Name: Robert Mauricio Gonzalez, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 13, 2011
Last Updated: Jun 4, 2012

Practice Location

Address: 8312 LAKE MURRAY BLVD
Address 2: STE C
City: San Diego Ca
State: California
ZIP Code: 92119
Phone: (619) 464-2076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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