Provider Demographics
NPI:1679619076
Name:FRANK D. GONZALES, MD APC
Entity type:Organization
Organization Name:FRANK D. GONZALES, MD APC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:805-345-3030
Mailing Address - Street 1:301 E COOK ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-5141
Mailing Address - Country:US
Mailing Address - Phone:805-345-3030
Mailing Address - Fax:805-345-3033
Practice Address - Street 1:301 E COOK ST
Practice Address - Street 2:SUITE C
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-5141
Practice Address - Country:US
Practice Address - Phone:805-345-3030
Practice Address - Fax:805-345-3033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG48455174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty