Provider Demographics
NPI:1528206596
Name:GOCHEZ, MARGARET B (LVN)
Entity Type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:B
Last Name:GOCHEZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 E CALAVERAS ST
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-5166
Mailing Address - Country:US
Mailing Address - Phone:626-744-6101
Mailing Address - Fax:626-744-6106
Practice Address - Street 1:189 E CALAVERAS ST
Practice Address - Street 2:
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-5166
Practice Address - Country:US
Practice Address - Phone:626-744-6101
Practice Address - Fax:626-744-6106
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN147973164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse