Individual
DR. JOSE JOAQUIN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
625 FAIR OAKS AVE, SUITE 390, SOUTH PASADENA, CA 91030-2630
(800) 314-7273
(800) 307-9438
Mailing address
625 FAIR OAKS AVE, SUITE 390, SOUTH PASADENA, CA 91030-2630
(800) 314-7273
(800) 307-9438
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 15161
CA
Other
Enumeration date
10/26/2006
Last updated
05/28/2008
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