Johanna Gonzalez

NPI 1356888101 · on the registry since 2017 · sole proprietor

Practice

Address: 265 San Jacinto River Rd
Suite 107
Lake Elsinore, CA 92530
Phone: (951) 674-9243
Fax: (951) 674-9635
Organisation at this address: Victor Community Support Services, Inc.
Victor Community Support Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 84

Registry record

Primary taxonomy: 373H00000X
373H00000X
Also registered as: 101YM0800X
171M00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-06-23

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