person
Miss Jacqueline Gonzaga
Rehabilitation Practitioner in Pasadena, California
NPI 1447376553

Jacqueline Gonzaga is a Rehabilitation Practitioner based in Compton, CA. Jacqueline Gonzaga practices in Pasadena, CA. The NPI Number for Jacqueline Gonzaga is 1447376553 and holds a License No. (California).

The current practice location address for Jacqueline Gonzaga is 1855 N Fair Oaks Ave, Pasadena, CA and can be reached out via phone at 626-296-7710 and via fax at 626-296-7714.

Location: 1855 N Fair Oaks Ave, Pasadena, CA, 90221-2519
person
Provider Profile Details
NPI Number
1447376553
Provider Name
Jacqueline Gonzaga
Credential
Provider Entity Type
Individual
Gender
Female
Address
1855 N Fair Oaks Ave, Pasadena, CA, 90221-2519
Phone Number
626-296-7710
Fax Number
626-296-7714
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
225400000X 01 CA MHW
institution
Provider Business Practice Location Address Details
Address
1855 N Fair Oaks Ave
City
State
Zip
91103-1620
Phone Number
626-296-7710
Fax Number
626-296-7714
person
Provider Business Mailing Address Details
Address
1855 N Fair Oaks Ave
City
State
Zip
91103-1620
Phone Number
626-296-7710
Fax Number
626-296-7714
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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