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KIMBERLY MICHELLE GONZALEZ NPI 1841949153


NPI Information

NPI: 1841949153
Provider Name: KIMBERLY MICHELLE GONZALEZ
Classification: Technician - 3747A0650X
Entity Type: Individual

Specialization: Attendant Care Provider

Address:
9415 CLOVIS AVE
LOS ANGELES, CA
ZIP 90002
Phone: (323) 351-8575
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Kimberly Michelle Gonzalez is an attendant care provider technician in Los Angeles, CA. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. Kimberly Michelle Gonzalez NPI is 1841949153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9415 CLOVIS AVE
LOS ANGELES, CA
ZIP 90002-927
Phone: (323) 351-8575

The enumeration date for this NPI number is 3/22/2022 and was last updated on 3/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13747A0650XTechnicianAttendant Care ProviderCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
194172262D31221MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.