Provider Information for 1609343748
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
ZAIDA ALEJANDRA GONZALEZ MFT
Other Names:Other Name:ZAIDA ALEJANDRA CASILLASSex: Female
NPI: 1609343748
Last Updated: 2024-05-09
Certification Date: 2024-05-09
Certification Date: 2024-05-09
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1609343748 | ||||||||||||||
| Enumeration Date | 2018-10-26 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 100 W WALNUT ST STE 375 PASADENA, CA 91124-0001 United States Phone: 626-395-7100 | Fax: | ||||||||||||||
| Primary Practice Address | 100 W WALNUT ST STE 375 PASADENA, CA 91124-0001 United States Phone: 626-395-7100 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|