person
Mr. Patrick Jordan Gonzales, NP
Psychiatric/Mental Health Nurse Practitioner in Chino, California
NPI 1639775166

Patrick Jordan Gonzales is a Psychiatric/Mental Health Nurse Practitioner based in Chino, CA and is specialized in Psychiatric/Mental Health. Patrick Jordan Gonzales practices in Chino, CA and has the professional credentials of NP. The NPI Number for Patrick Jordan Gonzales is 1639775166 and holds a License No. 95015671 (California).

The current practice location address for Patrick Jordan Gonzales is 8759 Celebration St, Chino, CA and can be reached out via phone at 909-217-8166.

Location: 8759 Celebration St, Chino, CA, 91708-8876
person
Provider Profile Details
NPI Number
1639775166
Provider Name
Patrick Jordan Gonzales
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
8759 Celebration St, Chino, CA, 91708-8876
Phone Number
909-217-8166
Fax Number
Provider Enumeration Date
12/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95015671 01 CA NURSE PRACTITIONER FURNISHING NUMNBER
institution
Provider Business Practice Location Address Details
Address
8759 Celebration St
City
State
Zip
91708-8876
Phone Number
909-217-8166
Fax Number
person
Provider Business Mailing Address Details
Address
8759 Celebration St
City
State
Zip
91708-8876
Phone Number
909-217-8166
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95015671 (California)
Definition
Definition to come...
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