Individual
JAMES GONZALEZ I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
4900 SERRANIA AVE, WOODLAND HILLS, CA 91364-3301
(818) 347-1577
Mailing address
4900 SERRANIA AVE, WOODLAND HILLS, CA 91364-3301
(818) 347-1577
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT29111
CA
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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