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Bernardo Bautista Gonzales JR.
Attendant Care Provider in Lakewood, California
NPI 1598319139

Bernardo Bautista Gonzales JR. is an Attendant Care Provider based in Lakewood, CA and is specialized in Attendant Care Provider. Bernardo Bautista Gonzales JR. practices in Lakewood, CA. The NPI Number for Bernardo Bautista Gonzales JR. is 1598319139 and holds a License No. (California).

The current practice location address for Bernardo Bautista Gonzales JR. is 11643 Centralia St, Lakewood, CA and can be reached out via phone at 661-418-4611.

Location: 11643 Centralia St, Lakewood, CA, 90715-1322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598319139
Provider Name
Bernardo Bautista Gonzales JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
11643 Centralia St, Lakewood, CA, 90715-1322
Phone Number
661-418-4611
Fax Number
Provider Enumeration Date
08/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11643 Centralia St
City
Lakewood
State
California
Zip
90715-1322
Phone Number
661-418-4611
Fax Number
person
Provider Business Mailing Address Details
Address
11643 Centralia St
City
Lakewood
State
California
Zip
90715-1322
Phone Number
661-418-4611
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
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.
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