Individual
JONATHAN A GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7819 JAYSEEL ST, SUNLAND, CA 91040-2511
(818) 913-8840
Mailing address
7819 JAYSEEL ST, SUNLAND, CA 91040-2511
(818) 913-8840
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F4810874
DL
CA
Enumeration date
12/21/2019
Last updated
12/21/2019
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