Individual
GILBERT GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHRS
Contact information
Practice address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 216-1701
Mailing address
1416 W 163RD ST, COMPTON, CA 90220-4302
(310) 387-4417
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/18/2019
Last updated
11/10/2022
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