Enrique Gonzales

NPI 1245880012 · on the registry since 2019 · sole proprietor

Practice

Address: 11015 Bloomfield Ave
Santa Fe Springs, CA 90670
Phone: (562) 906-2676
Organisation at this address: Homeless Outreach Program
Phoenix Houses Of Los Angeles, Inc.
Los Angeles Centers For Alcohol And Drug Abuse
Los Angeles Centers For Alcohol And Drug Abuse
Los Angeles Centers For Alcohol And Drug Abuse
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 169

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California