NPI 1023935111

Omar Antonio Gonzalez, MPSS

Practitioner Peer Specialist Los Angeles, CA

Practice location

Address: 840 N Avenue 66, Los Angeles, CA 90042-1508
Phone: (626) 395-7100

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence MPSS-SVNAQZ (CA)

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Registry record

NPI: 1023935111
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2026
Record last updated: 30 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.