Individual provider · Type 1 NPI
Kyla Jan Gonzalez, CPNP
Pediatric Nurse Practitioner · San Diego, CA
NPI number
1548545494
Active
Practice location
3020 Childrens Way # MC5115
San Diego, CA 92123-4223
Fax (858) 966-5815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 20050688 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1548545494
Kyla Jan Gonzalez, CPNP's National Provider Identifier is 1548545494, issued on Oct 11, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Diego, CA. The record was last updated on Oct 11, 2011.