Gonzalez, Mariela

Gonzalez, Mariela is an sole proprietor health care provider with primary practice located at 3257 Live Oak St , Huntington Park CA 90255-6137. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gonzalez, Mariela can be contacted via phone (323) 979-9441.

Contact Information

Primary practice address
3257 Live Oak St Huntington Park CA 90255-6137
Phone: (323) 979-9441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X California

Profile Details

NPI number 1902549884
LBN Legal business name Gonzalez, Mariela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2022
Last updated Apr 18th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902549884 NPPES
California Other 0000178255570299 KAISER PERMANENTE

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