NPI 1154215077

Vladimr Adan Maza Gonzalez, NA

Practitioner Prevention Professional San Bernardino, CA

Practice location

Address: 1481 Windsor Dr, San Bernardino, CA 92404-5416
Phone: (909) 361-6470
Mailing address: 10781 Maple Ave, Bloomington, CA 92316-2618

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence NA (CA)

Other Prevention Professional providers in California →

Registry record

NPI: 1154215077
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2025
Record last updated: 5 Jun 2025

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.