Individual
ANDREA ALICIA GAMBOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18411 CRENSHAW BLVD, TORRANCE, CA 90504-5042
(562) 645-3199
Mailing address
PO BOX 672, LOS ALAMITOS, CA 90720-0672
(562) 645-3199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
137364
CA
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2022
Last updated
03/09/2026
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