Individual
ANDRES FUENZALIDA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4510 E PACIFIC COAST HWY, LONG BEACH, CA 90804-3279
(562) 837-8561
Mailing address
4510 E PACIFIC COAST HWY, LONG BEACH, CA 90804-3279
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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