Individual provider · Type 1 NPI

Ivan Alberto Gonzalez

Student in an Organized Health Care Education/Training Program · Chatsworth, CA

NPI number 1073496501 Active

Practice location

21000 Plummer St
Chatsworth, CA 91311-4903

Call (818) 882-6400 Map

Mailing address

10612 Haddon Ave
Pacoima, CA 91331-2953

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073496501

Ivan Alberto Gonzalez's National Provider Identifier is 1073496501, issued on Jul 30, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chatsworth, CA. The record was last updated on Aug 18, 2025.