Individual provider · Type 1 NPI

Samantha Sison Gonzalez

Psychiatric/Mental Health Registered Nurse · Glendora, CA

NPI number 1023876216 Active

Practice location

150 W Route 66
Glendora, CA 91740-6207

Call (626) 852-5000 Map

Mailing address

5017 Agave Ave
Fontana, CA 92336-5962

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Registered Nurse Primary	163WP0808X	95046286 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1023876216

Samantha Sison Gonzalez's National Provider Identifier is 1023876216, issued on Mar 12, 2024. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Glendora, CA. The record was last updated on Mar 12, 2024.