Mario J Gonzales, OD

NPI #1427014166 in Hercules, California

Provider Information

NPI Number: 1427014166
Entity Type: Individual
Name: Mario J Gonzales, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Apr 21, 2006
Last Updated: Jan 3, 2022

Practice Location

Address: 1369 SYCAMORE AVE
City: Hercules
State: California
ZIP Code: 94547-5489
Phone: (510) 592-1630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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