Natally Malagon Gonzalez
Rehabilitation Practitioner in San Jose, CA. Individual provider (NPI-1).
NPI number1407326598
StatusActive
Last updated in NPPESJun 11, 2025
Details
- NPI
- 1407326598
- Entity type
- Individual (NPI-1)
- Name
- Natally Malagon Gonzalez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2018
- Certification date
- Jun 11, 2025
- Last updated
- Jun 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1885 Lundy Ave Ste 223San Jose, CA 95131-1888
Phone 408-284-9000
Mailing address
1885 Lundy Ave Ste 223San Jose, CA 95131-1888
Phone 408-284-9000
Other practice locations
75 E Santa Clara St
San Jose, CA 95113-1827
San Jose, CA 95113-1827
Phone 866-202-2712
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