Provider Demographics
NPI:1518989920
Name:GONZALEZ, OLGA L (MA)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:L
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3226 RAMONA DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-3951
Mailing Address - Country:US
Mailing Address - Phone:714-447-7081
Mailing Address - Fax:714-447-7081
Practice Address - Street 1:211 W COMMONWEALTH
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835
Practice Address - Country:US
Practice Address - Phone:714-447-7081
Practice Address - Fax:714-447-7015
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist