Jeanpaulo Alfonso Gonzalez

LBN: Jeanpaulo Alfonso Gonzalez
Jeanpaulo Alfonso Gonzalez is an health care organization with primary practice located at 101 E Redlands Blvd Ste 234A , Redlands CA 92373-4775. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Jeanpaulo Alfonso Gonzalez can be contacted via phone (909) 264-1388, or through Gonzalez, Jeanpaulo Alfonso via phone (909) 264-1388.

Contact Information

Primary practice address
101 E Redlands Blvd Ste 234A Redlands CA 92373-4775
Phone: (909) 264-1388
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Jeanpaulo Alfonso Licensed Clinical Social Worker (LCSW)
Phone: (909) 264-1388

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1811661465
LBN Legal business name Jeanpaulo Alfonso Gonzalez
DBA Doing business as
Authorized official Gonzalez, Jeanpaulo Alfonso Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2021
Last updated Aug 6th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811661465 NPPES
California MEDICAID 1346675972

Popular Providers