Provider Demographics
NPI:1366623340
Name:GONZALEZ, MAGDALENA CLAUDIA (HSA)
Entity Type:Individual
Prefix:MS
First Name:MAGDALENA
Middle Name:CLAUDIA
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:HSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1293 W HOBSONWAY
Mailing Address - Street 2:
Mailing Address - City:BLYTHE
Mailing Address - State:CA
Mailing Address - Zip Code:92225-1423
Mailing Address - Country:US
Mailing Address - Phone:760-921-5670
Mailing Address - Fax:760-921-5655
Practice Address - Street 1:1293 W HOBSONWAY
Practice Address - Street 2:
Practice Address - City:BLYTHE
Practice Address - State:CA
Practice Address - Zip Code:92225-1423
Practice Address - Country:US
Practice Address - Phone:760-921-5670
Practice Address - Fax:760-921-5655
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator