Individual provider · Type 1 NPI

Edwin Obusan Gonzaga, NURSE LVN

Licensed Vocational Nurse · San Jose, CA

NPI number 1992969299 Active

Practice location

1274 City View Pl
San Jose, CA 95127-4333

Call (408) 254-1040 Map

Fax (408) 251-8449

Mailing address

1488 Kooser Rd
San Jose, CA 95118-3428

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	VN164609 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1992969299

Edwin Obusan Gonzaga, NURSE LVN's National Provider Identifier is 1992969299, issued on Jul 15, 2008. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 15, 2008.