Gonzalez, Camilo

Gonzalez, Camilo is an individual health care provider with primary practice located at 301 Grand Ave Ste 301 , South San Francisco CA 94080-3641. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Gonzalez, Camilo can be contacted via phone (650) 244-0305.

Contact Information

Primary practice address
301 Grand Ave Ste 301 South San Francisco CA 94080-3641
Phone: (650) 244-0305
Fax: (650) 244-1447
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1598801201
LBN Legal business name Gonzalez, Camilo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Feb 25th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598801201 NPPES
California Other 99037 OLLIN- PROP. 36
California Other 38932 OLLIN- PROP. 36
California Other 97037 OLLIN- PROP. 36
California Other 38241 OLLIN- PROP. 36
California Other 41491 OLLIN- PROP. 36
California Other 38472 OLLIN- PROP. 36
California Other 38935 OLLIN- PROP. 36

Popular Providers