Individual
EDGAR O GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
11350 PALMS BLVD, LOS ANGELES, CA 90066-2104
(310) 391-7127
(310) 391-1376
Mailing address
11350 PALMS BLVD, LOS ANGELES, CA 90066-2104
(310) 391-6352
(310) 391-6352
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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