Most Relevant Information
Provider Data
| NPI Number: | 1003289760 |
| Provider Name: | JOHNETTE GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/03/2015 |
| Last Updated: | 11/03/2015 |
Provider Practice Location
1501 HUGHES WAY
SUITE 150
LONG BEACH
CA
908101876
Practice Location Phone/Fax
| Phone: | 3102216336 |
| Fax: |
Provider Mailing Location
1501 HUGHES WAY
SUITE 150
LONG BEACH
CA
908101876
Provider Mailing Phone/Fax
| Phone: | 3102216336 |
| Fax: |