Individual
CRISTIAN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 E FOOTHILL AVE, PASADENA, CA 91010
(626) 578-0948
Mailing address
1306 BROADLAND AVE, DUARTE, CA 91010-2443
(626) 701-0519
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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