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NPI Code Detail

MEDICARE: CELINA GONZALEZ C.N.M

MEDICARE:   CELINA  GONZALEZ  C.N.M
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
1163W00000XRegistered Nurse313704CA
2367A00000XAdvanced Practice Midwife1105CA

General Provider Information

NPI Number : 1316006786
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELINA GONZALEZ C.N.M
Provider Business Mailing Address
First Line : 720 WATERLOO ST APT 11
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4055
Country : US
Telephone Number : 213-483-2254
Fax Number :
Provider Business Practice Location Address
First Line : 1127 WILSHIRE BLVD STE 1000
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-4001
Country : US
Telephone Number : 213-241-0901
Fax Number : 213-241-0949
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 09/11/2025

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Directions to “ CELINA GONZALEZ C.N.M” Practice Location

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