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NPI Code Detail

MEDICARE: CINDY GONZALEZ

MEDICARE: CINDY 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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1801326582
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY GONZALEZ
Provider Business Mailing Address
First Line : 2243 N MOUNTAIN AVE
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-1586
Country : US
Telephone Number : 909-646-9509
Fax Number :
Provider Business Practice Location Address
First Line : 2243 N MOUNTAIN AVE
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-1586
Country : US
Telephone Number : 909-646-9509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2017
Last Update Date : 01/19/2021

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Directions to “ CINDY GONZALEZ ” Practice Location

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