Gonzalez, Jennifer Diane

Gonzalez, Jennifer Diane is an individual health care provider with primary practice located at 21545 Centre Pointe Pkwy , Santa Clarita CA 91350-2947. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Gonzalez, Jennifer Diane can be contacted via phone (661) 259-9439.

Contact Information

Primary practice address
21545 Centre Pointe Pkwy Santa Clarita CA 91350-2947
Fax:
Website:

Profile Details

NPI number 1992822910
LBN Legal business name Gonzalez, Jennifer Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated May 29th, 2013 - about 12 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 1992822910 NPPES
California MEDICAID 225400000X

Popular Providers