Mr. Samuel Gonzales JR.
Rehabilitation Practitioner
3200 Motor Ave
Los Angeles
, California 90034-3710
Mr. Samuel Gonzales JR.
Rehabilitation Practitioner
3200 Motor Ave
Los Angeles
, California 90034-3710
(310) 837-6647
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Mr. Samuel Gonzales JR.
- 1201 N Crescent Heights Blvd #105
- West Hollywood, CA
- Zip : 90046-5046
- Fax : (310) 837-6647
- Phone : (310) 836-1223
Second Address
- Mr. Samuel Gonzales JR.
- 3200 Motor Ave
- Los Angeles, CA
- Zip : 90034-3710
- Fax : (310) 837-6647
- Phone : (310) 836-1223
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What type of doctor is Mr. Samuel Gonzales JR.
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Is Mr. Samuel Gonzales JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1023140670 |
|---|---|
| Provider Name | Mr. Samuel Gonzales JR. |
| First Address | West Hollywood, CA 90046-5046 |
| Second Address | Los Angeles, CA 90034-3710 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.