Individual provider · NPI-1

Lydia Gonzalez, B.A.

Case Management · Gardena, CA

NPI number1013394832
StatusActive
Last updated in NPPESApr 30, 2015

Details

NPI
1013394832
Entity type
Individual (NPI-1)
Name
Lydia Gonzalez
Credential
B.A.
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 30, 2015
Last updated
Apr 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

13605 S Vermont Ave Apt 16
Gardena, CA 90247

Phone 310-436-5472

Mailing address

13605 S Vermont Ave Apt 16
Gardena, CA 90247-2061

Phone 310-436-5472

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