Gonzalez, Sara
Gonzalez, Sara is an individual health care provider with primary practice located at 241 E Lake Ave A, Watsonville CA 95076-4717. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gonzalez, Sara can be contacted via phone (831) 688-8856.Contact Information
Primary practice address
241 E Lake Ave A
Watsonville CA 95076-4717
Phone: (831) 688-8856
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 7820 | California |
Profile Details
NPI number | 1326263054 |
---|---|
LBN Legal business name | Gonzalez, Sara |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 16th, 2007 |
Last updated | Aug 27th, 2020 - about 4 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 | 1326263054 | NPPES |
California | Other | ZZZ92069Z | NON-MEDICARE |
California | Other | ZZZ92069Z | NON-MEDICARE |
California | Other | ZZZ91892Z | NON-MEDICARE |
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