Provider Demographics
NPI:1376769901
Name:ZEMBRASKI-GONZALEZ, OSCAR JAVIER (AA)
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:JAVIER
Last Name:ZEMBRASKI-GONZALEZ
Suffix:
Gender:M
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9465 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-3709
Mailing Address - Country:US
Mailing Address - Phone:951-836-0733
Mailing Address - Fax:
Practice Address - Street 1:6848 MAGNOLIA AVE SUITE 200
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507
Practice Address - Country:US
Practice Address - Phone:951-358-4830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health