Healthcare Provider Details

I. General information

NPI: 1124985692
Provider Name (Legal Business Name): MARIA LUISA GONZALEZ CSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

8324 WESTMAN AVE
WHITTIER CA
90606-3314
US

IV. Provider business mailing address

6352 CEDAR ST
HUNTINGTON PARK CA
90255-7426
US

V. Phone/Fax

Practice location:
  • Phone: 562-692-0271
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number851787
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: