| Enrique Jose Gonzalez, MD | |
|
321 S Mednik Ave, Los Angeles, CA 90022 | |
| (323) 261-4706 | |
| (323) 261-4124 |
| Full Name | Enrique Jose Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 321 S Mednik Ave, Los Angeles, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023161684 | NPI | - | NPPES |
| G747490 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G74790 (California) | Primary |
| Entity Name | Yacoub Medical, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477698512 PECOS PAC ID: 0446311542 Enrollment ID: O20081208000595 |
| Entity Name | Via Care Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497001226 PECOS PAC ID: 1052550365 Enrollment ID: O20130618000414 |
| Entity Name | Eastside Family Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568656791 PECOS PAC ID: 4486058369 Enrollment ID: O20210816000213 |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique Jose Gonzalez, MD 321 S Mednik Ave, Los Angeles, CA 90022-1839 Ph: (323) 261-4706 | Enrique Jose Gonzalez, MD 321 S Mednik Ave, Los Angeles, CA 90022 Ph: (323) 261-4706 |
Jason Aguirre, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1516 Sawtelle Blvd, Los Angeles, CA 90025 Phone: 310-445-5999 | |
Joong Y Park, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3511 W Olympic Bl, #101, Los Angeles, CA 90019 Phone: 323-766-1057 Fax: 323-766-8790 | |
Tit S Li, MD General Practice Medicare: Medicare Enrolled Practice Location: 819 W Cesar E Chavez Ave, Los Angeles, CA 90012 Phone: 213-613-1255 Fax: 213-613-1256 | |
Miss Hui Wu, M.D General Practice Medicare: Medicare Enrolled Practice Location: 2975 Wilshire Blvd, #103, Los Angeles, CA 90010 Phone: 213-736-0450 | |
Dr. Shivangi Amin, General Practice Medicare: Not Enrolled in Medicare Practice Location: 701 N Alvarado St, Los Angeles, CA 90026 Phone: 213-908-5008 | |
Dr. Charles Ikechukwu Okoye, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 4405 S Main St, Los Angeles, CA 90037 Phone: 323-231-0659 |