Individual
MIRIAM GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(562) 403-0101
Mailing address
PO BOX 3771, SAN DIMAS, CA 91773-7771
(626) 590-9367
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
95144011
CA
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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