Search › California › 183500000X
Carissa Gonzalez
NPI 1659866473 · on the registry since 2018 · sole proprietor
Practice
- Address
- 119 Lincoln Blvd
Venice, CA 90291 - Phone
- (310) 392-3983
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-25
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