Gonzalez, Omar

Gonzalez, Omar is an sole proprietor health care provider with primary practice located at 390 40Th St , Oakland CA 94609-2633. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Gonzalez, Omar can be contacted via phone (510) 653-5040.

Contact Information

Primary practice address
390 40Th St Oakland CA 94609-2633
Phone: (510) 653-5040
Fax: (510) 653-6475
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1952649667
LBN Legal business name Gonzalez, Omar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2013
Last updated Oct 2nd, 2014 - about 12 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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