Provider Demographics
NPI:1093993685
Name:GOLEZ, CANDICE DATOC (MD)
Entity Type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:DATOC
Last Name:GOLEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:460 GREENFIELD AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-3500
Mailing Address - Country:US
Mailing Address - Phone:559-584-5770
Mailing Address - Fax:888-774-0477
Practice Address - Street 1:460 GREENFIELD AVE STE 3
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-3500
Practice Address - Country:US
Practice Address - Phone:559-584-5770
Practice Address - Fax:888-774-0477
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA110303207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine