Healthcare Provider Details

I. General information

NPI: 1861909269
Provider Name (Legal Business Name): JANINA R GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2018
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3540 LEXINGTON AVE
EL MONTE CA
91731-2608
US

IV. Provider business mailing address

744 S CALVADOS AVE
COVINA CA
91723-3401
US

V. Phone/Fax

Practice location:
  • Phone: 626-453-3700
  • Fax:
Mailing address:
  • Phone: 626-665-4971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: