Individual provider · Type 1 NPI

Samantha Gonzalez

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

NPI number 1811563281 Active

Practice location

1000 Veteran Ave
Los Angeles, CA 90024-2704

Call (323) 524-8280 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XWAIVERED (CA)
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 1811563281

Samantha Gonzalez's National Provider Identifier is 1811563281, issued on May 27, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 10, 2023.