DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. BALDOMERO GONZALEZ

MEDICARE: MR. BALDOMERO GONZALEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174735914
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BALDOMERO GONZALEZ
Provider Business Mailing Address
First Line : 11027 BURBANK BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-2431
Country : US
Telephone Number : 818-985-8323
Fax Number :
Provider Business Practice Location Address
First Line : 11027 BURBANK BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-2431
Country : US
Telephone Number : 818-985-8323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 06/03/2025

Similar Medicare Providers

1306584479 — MONIQUE JIMENEZ
Practice Location Address:
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA
91601-2431
Practice Phone: 818-985-8323
Practice Fax:
1164255105 — LISA LEANNE ARREY
Practice Location Address:
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA
91601-2431
Practice Phone: 818-985-8323
Practice Fax:
1790204782 — DAVID HURWITZ CADC - II
Practice Location Address:
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA
91601-2431
Practice Phone: 818-985-8323
Practice Fax:
1174676720 — CRI-HELP, INC.
Practice Location Address:
11027 BURBANK BLVD.
NORTH HOLLYWOOD, CA
91601-2431
Practice Phone: 818-985-8323
Practice Fax: 818-985-4297
1437358454 — VALERIE MARIE GONZALES
Practice Location Address:
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA
91601-2431
Practice Phone: 818-985-8323
Practice Fax:
1669648739 — MANELI MASOUMEH MANSOORI M.D.
Practice Location Address:
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA
91601-2431
Practice Phone: 818-985-8323
Practice Fax:

Directions to “ MR. BALDOMERO GONZALEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.