Miss Tracy Gonzalez, is a
Counselor - Mental Health based in Los Angeles, California. Miss Tracy Gonzalez is licensed to practice in California (license number 99763) and her current practice location is
1721 Griffin Ave, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 221-4134.
NPI number for Miss Tracy Gonzalez is 1861067704 and her current mailing address is 1721 Griffin Ave, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861067704.
Healthcare Provider's Profile
Full Name | Miss Tracy Gonzalez |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1721 Griffin Ave, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861067704
- Provider Enumeration Date: 05/24/2021
- Last Update Date: 08/24/2021
Medical Identifiers
Medical identifiers for Miss Tracy Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861067704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 99763 (California) | Secondary |
101YM0800X | Counselor - Mental Health | 99763 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Tracy Gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Tracy Gonzalez, 1721 Griffin Ave, Los Angeles, CA 90031-3312 Ph: (323) 221-4134 | Miss Tracy Gonzalez, 1721 Griffin Ave, Los Angeles, CA 90031-3312 Ph: (323) 221-4134 |
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