Individual
VITALINA B GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
221 WESTWOOD PLAZA, LOS ANGELES, CA 90095-0001
(310) 825-4073
Mailing address
11705 MITLA AVE, DOWNEY, CA 90241-4337
(323) 313-9389
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61515290
WA
163WG0000X
General Practice Registered Nurse
Primary
95134850
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2019
Last updated
02/13/2024
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