JAN GONZALES

IRVINE, CA
NPI1215519905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  6577)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2021-04-22
Last Update Date2023-10-05
Business Address
JAN GONZALES
36 MAUCHLY STE A
IRVINE, CA 92618-2390
Phone number: 949-727-3315
Mailing Address
JAN GONZALES
18726 S WESTERN AVE STE 408
GARDENA, CA 90248-3858
Phone number: 310-856-0800