Organization
CHICHIHUALTIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO GONZALEZ (ASSOCIATE DIRECTOR)
(818) 747-4294
Entity
Organization
Contact information
Practice address
14621 VAN NUYS PL, PANORAMA CITY, CA 91402-1024
(818) 747-4294
Mailing address
14621 VAN NUYS PL, PANORAMA CITY, CA 91402-1024
(818) 747-4294
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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