Individual
MR. BALDOMERO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11027 BURBANK BLVD, NORTH HOLLYWOOD, CA 91601-2431
(818) 985-8323
Mailing address
11027 BURBANK BLVD, NORTH HOLLYWOOD, CA 91601-2431
(818) 985-8323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1989
—
CA
Enumeration date
05/04/2007
Last updated
06/03/2025
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