Gonzalez, Ed

Gonzalez, Ed is an individual health care provider with primary practice located at 855 3Rd Ave Ste 1110 , Chula Vista CA 91911-1350. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Gonzalez, Ed can be contacted via phone (619) 934-5770.

Contact Information

Primary practice address
855 3Rd Ave Ste 1110 Chula Vista CA 91911-1350
Phone: (619) 934-5770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1700324878
LBN Legal business name Gonzalez, Ed
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2017
Last updated Sep 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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