Individual
JACQUELYN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 FIVEPOINT, IRVINE, CA 92618-2377
(949) 671-4673
(949) 671-4329
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95009453
CA
363LA2200X
Adult Health Nurse Practitioner
95009453
CA
Other
Enumeration date
12/23/2010
Last updated
01/22/2024
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