Provider Demographics
NPI:1548370026
Name:GONZALES, DAVID ARTHUR (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARTHUR
Last Name:GONZALES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15658 E. GALE AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-2226
Mailing Address - Country:US
Mailing Address - Phone:626-330-0651
Mailing Address - Fax:
Practice Address - Street 1:15658 E. GALE AVE.
Practice Address - Street 2:SUITE D
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-2226
Practice Address - Country:US
Practice Address - Phone:626-330-0651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC014379111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor