Healthcare Provider Details

I. General information

NPI: 1134526338
Provider Name (Legal Business Name): NATALIE MONTES GONZALEZ CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2014
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5625 WINDSOR WAY
CULVER CITY CA
90230-6762
US

IV. Provider business mailing address

718 S PANNES AVE
COMPTON CA
90221-4053
US

V. Phone/Fax

Practice location:
  • Phone: 310-384-5317
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP37499
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: