Most Relevant Information
Provider Data
| NPI Number: | 1003375155 |
| Provider Name: | GABRIEL JOSEF BOUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/18/2019 |
| Last Updated: | 03/18/2019 |
Provider Practice Location
2025 ZONAL AVE # GNH3900
LOS ANGELES
CA
900890146
Practice Location Phone/Fax
| Phone: | 3234097409 |
| Fax: |
Provider Mailing Location
2025 ZONAL AVE # GNH3900
LOS ANGELES
CA
900890146
Provider Mailing Phone/Fax
| Phone: | 3234097409 |
| Fax: |