Individual
BYRON VELA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2307 W 6TH ST, LOS ANGELES, CA 90057-3119
(310) 850-5797
Mailing address
8530 KATHERINE AVE, PANORAMA CITY, CA 91402-3106
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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