Individual provider · Type 1 NPI

Samuel Gonzales Jr., BA

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1023140670 Active

Practice location

3200 Motor Ave
Los Angeles, CA 90034-3710

Fax (310) 837-6647

Mailing address

1201 N Crescent Heights Blvd, #105
West Hollywood, CA 90046-5046

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1023140670

Samuel Gonzales Jr., BA's National Provider Identifier is 1023140670, issued on Mar 9, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.