Search › California › 101YA0400X
Ethan Gonsalves, RADT
NPI 1053035402 · on the registry since 2022
Practice
- Address
- 34 Prado
San Luis Obispo, CA 93401 - Phone
- (805) 519-1405
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California