Individual provider · Type 1 NPI

Martha Elizabeth Gonzalez, BA

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

NPI number 1639334402 Active

Practice location

12450 Van Nuys Blvd, Suite 200
Pacoima, CA 91331-1391

Call (818) 896-1161 Map

Fax (818) 896-5069

Mailing address

1145 Melrose Ave Apt C
Glendale, CA 91202-2447

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
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 1639334402

Martha Elizabeth Gonzalez, BA's National Provider Identifier is 1639334402, issued on Jul 22, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pacoima, CA. The record was last updated on Jul 9, 2014.