Most Relevant Information
Provider Data
  | NPI Number: | 1003557190 | 
| Provider Name: | BRANDY GONZALES | 
| Entity Type: | Individual | 
| Taxonomy Code: | 163WP0808X | 
| Specialty: | Registered Nurse | 
| License Number: | 95218091 | 
Most Important Dates
  | Enumeration Date: | 04/05/2022 | 
| Last Updated: | 04/05/2022 | 
Provider Practice Location
  6060 N PARAMOUNT BLVD
      
      LONG BEACH
      CA
      908053711
  Practice Location Phone/Fax
      | Phone: | 5626349534 | 
| Fax: | 
Provider Mailing Location
  6060 N PARAMOUNT BLVD
      
      LONG BEACH
      CA
      908053711
  Provider Mailing Phone/Fax
      | Phone: | 5626349534 | 
| Fax: |