Search › California › 101YA0400X
Mark Gonzales, LAADC-CA LCI10970318
NPI 1619306289 · on the registry since 2013 · sole proprietor
Practice
- Address
- 4023 W Douglas Ave
Visalia, CA 93291 - Phone
- (510) 691-0474
Additional practice sites
- 408 Tennessee St, Vallejo, CA
- 4023 W Douglas Ave, Visalia, CA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California