Provider Demographics
NPI:1245771435
Name:GONZALEZ, CHRISTIAN A (ND)
Entity Type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:A
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1057 EL MONTE AVENUE, STE. B
Mailing Address - Street 2:NATURAL START MEDICINE
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040
Mailing Address - Country:US
Mailing Address - Phone:650-396-7117
Mailing Address - Fax:
Practice Address - Street 1:1057 EL MONTE AVENUE, STE. B
Practice Address - Street 2:NATURAL START MEDICINE
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040
Practice Address - Country:US
Practice Address - Phone:650-396-7117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND873175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath