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Luis Angel Gonzalez

Rehabilitation Practitioner in Chula Vista, CA. Individual provider (NPI-1).

NPI number1356090278
StatusActive
Last updated in NPPESMar 27, 2025

Details

NPI
1356090278
Entity type
Individual (NPI-1)
Name
Luis Angel Gonzalez
Sex
Male
Sole proprietor
No
Enumeration date
Mar 18, 2022
Certification date
Mar 27, 2025
Last updated
Mar 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

855 3rd Ave Ste 1110
Chula Vista, CA 91911-1350

Phone 619-934-5770 · Fax 619-391-0091

Mailing address

855 3rd Ave Ste 1110
Chula Vista, CA 91911-1350

Phone 619-934-5770 · Fax 619-391-0091

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