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NPI Code Detail

MEDICARE: MRS. SYNTHIA M GONZALEZ

MEDICARE: MRS. SYNTHIA M 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
1106H00000XMarriage & Family Therapist157975CA

General Provider Information

NPI Number : 1457845042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SYNTHIA M GONZALEZ
Provider Business Mailing Address
First Line : 17800 US HIGHWAY 18
Second Line :
City : APPLE VALLEY
State : CA
Zip : 92307-1221
Country : US
Telephone Number : 760-552-6700
Fax Number :
Provider Business Practice Location Address
First Line : 17800 US HIGHWAY 18
Second Line :
City : APPLE VALLEY
State : CA
Zip : 92307-1221
Country : US
Telephone Number : 760-552-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2018
Last Update Date : 01/05/2026

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Directions to “ MRS. SYNTHIA M GONZALEZ ” Practice Location

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