Provider Demographics
NPI:1447342308
Name:GONDA, FRANCISCO CASTILLO JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:CASTILLO
Last Name:GONDA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1110 W LA PALMA AVE
Mailing Address - Street 2:# 10
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801
Mailing Address - Country:US
Mailing Address - Phone:714-956-5470
Mailing Address - Fax:714-956-4634
Practice Address - Street 1:1110 W LA PALMA AVE
Practice Address - Street 2:# 10
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801
Practice Address - Country:US
Practice Address - Phone:714-956-5470
Practice Address - Fax:714-956-4634
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2010-01-22
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Provider Licenses
StateLicense IDTaxonomies
CAA30260207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A30260Medicaid
CAA30260Medicare ID - Type Unspecified
A26027Medicare UPIN