Individual provider · Type 1 NPI

Larrisa Breanne Gonzales

Student in an Organized Health Care Education/Training Program · East Rancho Dominguez, CA

NPI number 1649798984 Active

Practice location

15116 S Gibson Ave
East Rancho Dominguez, CA 90221-3106

Call (323) 242-5000 Map

Mailing address

11601 S Western Ave
Los Angeles, CA 90047-5006

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 1649798984

Larrisa Breanne Gonzales's National Provider Identifier is 1649798984, issued on Sep 7, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in East Rancho Dominguez, CA. The record was last updated on Feb 5, 2025.