Perez, Gonzalo

Perez, Gonzalo is an sole proprietor health care provider with primary practice located at 108 W Victoria St , Gardena CA 90248-3523. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Perez, Gonzalo can be contacted via phone (310) 715-2020.

Contact Information

Primary practice address
108 W Victoria St Gardena CA 90248-3523
Phone: (310) 715-2020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X California

Profile Details

NPI number 1356475545
LBN Legal business name Perez, Gonzalo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Aug 24th, 2023 - about last year

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 1356475545 NPPES
California MEDICAID 95-2633765

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