Ralph Gongora
Counselor, Addiction (Substance Use Disorder) in La Puente, CA. Individual provider (NPI-1).
NPI number1245767342
StatusActive
Last updated in NPPESMay 19, 2017
Details
- NPI
- 1245767342
- Entity type
- Individual (NPI-1)
- Name
- Ralph Gongora
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 19, 2017
- Last updated
- May 19, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
15229 E. Amar RoadLa Puente, CA 91744
Phone 626-855-5090
Mailing address
6926 Gretna AveWhittier, CA 90606-1905
Phone 562-665-6836 · Fax 562-692-7283
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 25 Addiction (Substance Use Disorder) Counselor providers in La Puente · All 664 providers in La Puente
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