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Contact Information

MARIO A GONZALEZ, LCSW
3102 E. HIGHLAND AVENUE
MEDICAL STAFF OFFICE
PATTON, CA92369
 Phone: 909-425-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARIO A GONZALEZ · (Male)

NPI Number 1104378280
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/25/2016
Last updated 10/25/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 29222
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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