Individual provider · Type 1 NPI

Jaime Gonzalez

Rehabilitation Practitioner · Rialto, CA

NPI number 1457558900 Active

Practice location

850 E Foothill Blvd
Rialto, CA 92376-5230

Call (909) 873-4409 Map

Mailing address

12625 Hesperia Rd
Victorville, CA 92395-7720

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
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 1457558900

Jaime Gonzalez's National Provider Identifier is 1457558900, issued on Jun 28, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Rialto, CA. The record was last updated on May 15, 2025.