Individual provider · Type 1 NPI

Justine Gonzales

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

NPI number 1619685484 Active

Practice location

201 N Brand Blvd Ofc 233
Glendale, CA 91203-3588

Fax (855) 568-2494

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 1619685484

Justine Gonzales's National Provider Identifier is 1619685484, issued on Nov 10, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glendale, CA. The record was last updated on Feb 18, 2026.