Individual
GISELA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1516 SAN PABLO ST FL 2, LOS ANGELES, CA 90033-5313
(323) 442-5908
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5908
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
363A00000X
Physician Assistant
Primary
PA59740
CA
Other
Enumeration date
02/07/2018
Last updated
05/06/2022
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