NPI Registry.org

Rudy Marvin Gonzalez

NPI Registration Record

Provider / OrganizationNPIDate Certified
RUDY MARVIN GONZALEZ17601045172022-09-16

Rudy Marvin Gonzalez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760104517. Registration indicates Rudy Marvin Gonzalez is a provider of services with a specialization in Nursing Service Providers, Licensed Vocational Nurse (Licensed Vocational Nurse, ) (Licensed Vocational Nurse, Nursing Service Providers)

Entity TypeIndividual
Provider Name Rudy Marvin Gonzalez LVN
Practice Office Address545 LAUREL ST
SAN DIEGO, CA US
Practice Office Telephone6192334399
Mailing Address29319 DUGOUT DR
LAKE ELSINORE, CA 925304631 US
Business Telephone9095307393
HPT Codes
CodePractice
License No
State
164X00000X PRIMARY
Nursing Service Providers
Licensed Vocational Nurse
Licensed Vocational Nurse

Licensed Vocational Nurse
Nursing Service Providers
241350
CA
OPI Codes
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