Individual
FABIAN BARAJAS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21520 PIONEER BLVD STE 203, HAWAIIAN GARDENS, CA 90716-2601
(562) 865-3644
Mailing address
6762 LEXINGTON AVE, LOS ANGELES, CA 90038-1217
(323) 380-7590
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
10/17/2018
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