Gonzalez, Baldomero
Gonzalez, Baldomero is an individual health care provider with primary practice located at 3125 East 7Th Street , Long Beach CA 90804. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gonzalez, Baldomero can be contacted via phone (562) 439-7755.Contact Information
Primary practice address
3125 East 7Th Street
Long Beach CA 90804
Phone: (562) 439-7755
Fax: (562) 438-6891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1174735914 |
|---|---|
| LBN Legal business name | Gonzalez, Baldomero |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174735914 | NPPES |
| California | MEDICAID | 1989 |
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