Individual
JOSEPH MICHAEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC, CSCS
Contact information
Practice address
1600 CAMPUS RD # M-19, LOS ANGELES, CA 90041-3314
(323) 341-4128
Mailing address
1600 CAMPUS RD # M-19, LOS ANGELES, CA 90041-3314
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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