Healthcare Provider Details

I. General information

NPI: 1659115137
Provider Name (Legal Business Name): ADRIANA GONZALEZ CABRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10331 STANFORD AVE
GARDEN GROVE CA
92840-6351
US

IV. Provider business mailing address

10331 STANFORD AVE
GARDEN GROVE CA
92840-6351
US

V. Phone/Fax

Practice location:
  • Phone: 714-663-6000
  • Fax:
Mailing address:
  • Phone: 714-663-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number129890
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: