NPI 1033723945

Zack Gonzalez

Practitioner Athletic Trainer Van Nuys, CA

Practice location

Address: 6815 Noble Ave, Van Nuys, CA 91405-3730
Phone: (818) 901-6600

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2000029389 (CA)

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Registry record

NPI: 1033723945
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2020
Record last updated: 8 Sep 2020

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.