Healthcare Provider Details

I. General information

NPI: 1750135307
Provider Name (Legal Business Name): ARGEY J GONZALEZ TELLEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2513 YOUNGSTOWN RD
TURLOCK CA
95380-9707
US

IV. Provider business mailing address

2513 YOUNGSTOWN RD
TURLOCK CA
95380-9707
US

V. Phone/Fax

Practice location:
  • Phone: 209-632-4247
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: