Gonzalez, Lillian Janeth

Gonzalez, Lillian Janeth is an individual health care provider with primary practice located at 11211 Sepulveda Blvd , Mission Hills CA 91345-1115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gonzalez, Lillian Janeth can be contacted via phone (818) 365-9531.

Contact Information

Primary practice address
11211 Sepulveda Blvd Mission Hills CA 91345-1115
Phone: (818) 365-9531
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 109715 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21663 California

Profile Details

NPI number 1710181581
LBN Legal business name Gonzalez, Lillian Janeth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Apr 11th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710181581 NPPES
Arizona Other RN109715 LICENSE
Arizona MEDICAID 243894 LICENSE

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