MEDICARE: JOSELINE 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
1	1041C0700X	Clinical Social Worker	122504	CA

General Provider Information

NPI Number	:	1841117546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSELINE GONZALEZ

Provider Business Mailing Address
First Line	:	14323 PERHAM DR
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-3581
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3281 E GUASTI RD STE 600
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91761-7611
Country	:	US
Telephone Number	:	909-760-4229
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2026
Last Update Date	:	07/02/2026

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