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NPI Code Detail

MEDICARE: KAREN MICHELLE GONZALEZ

MEDICARE: KAREN MICHELLE GONZALEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1104776731
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN MICHELLE GONZALEZ
Provider Business Mailing Address
First Line : 200 MICHIGAN AVE
Second Line :
City : VISTA
State : CA
Zip : 92084-5424
Country : US
Telephone Number : 619-454-4393
Fax Number :
Provider Business Practice Location Address
First Line : 3890 MURPHY CANYON RD STE 250
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4408
Country : US
Telephone Number : 760-509-3445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ KAREN MICHELLE GONZALEZ ” Practice Location

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